Methods of treating cancer using anti-LRP1 polyclonal antibodies

ABSTRACT

Provided herein are agents that hind to binding domain I of LRP1 and mimic the activity of prosaposin in stimulating Tsp-1. Further provided herein are agents that inhibit the function (e.g., the ability to repress Tsp-1) of Protease, Serine 2 (PRSS2) by inhibiting the binding of PRSS2 to LRP1. Methods of using these agents in treating cancer are also provided.

RELATED APPLICATIONS

This application is a national stage filing under 35 U.S.C. § 371 of international application number PCT/US2018/023809, filed Mar. 22, 2018, which claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application No. 62/475,133 filed Mar. 22, 2017, the entire contents of each of which are incorporated herein by reference.

BACKGROUND

The current standard of care for cancer patients consists of broadly acting cytotoxic agents (chemotherapy), radiation, and directed therapeutics that target specific secreted proteins, cell surface receptors, or kinases. Historically, there have been two classes of therapeutics that target the tumor microenvironment, anti-angiogenic drugs (which have been limited to anti-VEGF therapies) and immunomodulatory drugs. One of the major drawbacks to therapies that target the microenvironment is that they do not have direct anti-tumor activity and thus their efficacy as monotherapies has been limited. Conversely, a major drawback of targeted therapies and chemotherapies that have direct anti-tumor activity is that patients develop resistance to the drug, in addition to unintended deleterious side effects.

SUMMARY

Provided herein are novel cancer therapeutic strategies that possess both anti-cancer activity and target the cancer microenvironment to prevent cancer reoccurrence and/or metastasis, by stimulating the activity of the potent anti-angiogenic and anti-tumorigenic protein Thrombospondin 1 (Tsp-1).

Some aspects of the present disclosure provide methods of treating cancer, the method comprising administering to a subject in need thereof an effective amount of an agent that binds to binding domain I of Low Density Lipoprotein Receptor-related Protein 1 (LRP1).

In some embodiments, binding domain I of LRP1 comprises amino acids 1-172 of LRP1. In some embodiments, the agent is a protein or peptide.

In some embodiments, the agent is an antibody. In some embodiments, the antibody is a polyclonal antibody. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody hinds to amino acids 151-172 (SEQ ID NO: 3) in the binding domain I of LRP1.

In some embodiments, the agent is a small molecule. In some embodiments, the small molecule is selected from the group consisting of: lipids, monosaccharides, second messengers, metabolites, and xenobiotics.

In some embodiments, binding of the agent to binding domain I of LRP1 activates a Rho-GTPase pathway. In some embodiments, the Rho pathway is a LRP-1 mediated Rho-GTPase pathway. In some embodiments, binding of the agent to binding domain I of LRP1 stimulates Thrombospondin 1 (Tsp-1).

In some embodiments, the agent is administered orally, parenterally, intramuscularly, intranasally, intratracheally, intracerebroventricularly, intravenously, or intraperitoneally.

In some embodiments, the cancer is metastatic. In some embodiments, the cancer is biliary tract cancer; bladder cancer; brain cancer; glioblastoma; medulloblastoma; breast cancer; cervical cancer; choriocarcinoma; colon cancer; endometrial cancer: esophageal cancer; gastric cancer; hematological neoplasm; acute lymphocytic and myelogenous leukemia; multiple myeloma; AIDS-associated leukemias and adult T-cell leukemia, lymphoma; intraepithelial neoplasm; Bowen's disease; Paget's disease; liver cancer; lung cancer; lymphomas; Hodgkin's disease; lymphocytic lymphoma; neuroblastomas; oral cancer; squamous cell carcinoma; ovarian cancer; pancreatic cancer; prostate cancer; rectal cancer; sarcomas; leiomyosarcoma; rhabdomyosarcoma; liposarcoma; fibrosarcoma; osteosarcoma; skin cancer; testicular cancer; stromal tumors and germ cell tumors; thyroid cancer; and renal cancer. In some embodiments, the cancer is prostate cancer, breast cancer, ovarian cancer, or pancreatic cancer.

Other aspects of the present disclosure provide antibodies bind binding domain I of Low Density Lipoprotein Receptor-related Protein 1 (LRP1). In some embodiments, binding domain I of LRP-1 comprises the amino acids 1-172 of LRP-1. In some embodiments, the antibody binds to amino acids 151-172(SEQ ID NO: 3) in binding domain I of LRP1.

In some embodiments, the antibody is a polyclonal antibody. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody stimulates Tsp-1.

Further provided herein are methods of treating cancer, the method comprising administering to a subject in need thereof an effective amount of an agent that stimulates Thrombospondin 1 (Tsp-1). In some embodiments, the agent inhibits the ability of Protease, serine 2 (PRSS2) to repress Tsp-1. In some embodiments, the agent binds to binding domain I of LRP1. In some embodiments, the agent inhibits binding of PRSS2 to Low density lipoprotein receptor-related protein 1 (LRP1).

Further provided herein are methods of treating cancer, the method comprising administering to a subject in need thereof an effective amount of a first agent that inhibits the function of Protease, serine 2 (PRSS2), and an effective amount of a second agent that binds to binding domain I of Low density lipoprotein receptor-related protein I (LRP1). In some embodiments, the first agent and the second agent are administered simultaneously. In some embodiments, the first agent and the second agent are administered sequentially.

The details of one or more embodiments of the disclosure are set forth in the description below. Other features or advantages of the present disclosure will be apparent from the following drawings and detailed description of several embodiments, and also from the appending claims.

BRIEF DESCRIPTION OF DRAWINGS

The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present disclosure, which can be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein. In the drawings:

FIG. 1. Plot of average tumor mass of AsPc1 tumors treated with vehicle control or peptide at a dose of 20 and 40 mg/kg/day.

FIGS. 2A-2B. Representative images of (FIG. 2A) primary pancreatic tumors and (FIG. 2B) the lung and spleen of mice treated with psaptide or vehicle control.

FIGS. 3A-3B. Western blot of CD36 and β-actin in (FIG. 3A) 9 ovarian cancer cell lines established from patient ascites and (FIG. 3B) breast cancer cell lines MCF7, SkBr3 and MDA-MB-231.

FIG. 4. SCID mice were injected with 1×10 ovarian cancer cells and treated with peptide (40 mg/kg/QD) or cisplatin (4 mg/kg QOD) (n=12/group),

FIG. 5. FACS analysis of Gr1+ (x-axis) and CD11b+ (y-axis) cells in the ascites of mice that were treated with vehicle control or the peptide (psaptide).

FIGS. 6A-6B. Western blot analysis of: (FIG. 6A) Tsp-1 and β-actin expression in prostate fibroblasts that were untreated (−) or treated with conditioned media from PC3 cells alone or in combination with RAP, and (FIG. 6B) Tsp-1, p53 and β-actin expression in prostate fibroblasts that were untreated (−) or treated with conditioned media from PC3 cells alone or in combination with the PKC inhibitor Gδ 6983 (PKCi).

FIG. 7. Western blot analysis of Tsp-1, p53 and β-actin expression in MRC5 lung fibroblasts that were transduced with an empty vector (pLKO) or lentiviral vectors expressing two independent shRNA sequences specific for LRP1, which were untreated (−) or treated with conditioned media from PC3 cells or PC3M-LN4 cells.

FIGS. 8A-8B. Western blot analysis of Tsp-1 and β-actin expression in lung fibroblasts, which were (FIG. 8A) untreated (−) or treated with psap peptide alone or in combination with 25 or 50 μg of rhRAP, and (FIG. 8B) untreated (−) or treated with psap peptide alone or with Y27632.

FIG. 9. Western blot analysis of Tsp-1 and β-actin expression in lung fibroblasts that were untreated (−) or treated with LN4 CM fractionated over a Cu^(2|)/heparin sepharose column with increasing concentrations of NaCl.

FIG. 10. Western blot analysis of PRSS2 and β-actin expression in PC3 and PC3M-LN4 cells.

FIG. 11. Western blot analysis of Tsp-1 and β-actin expression in lung fibroblasts that were untreated (−) or treated with LN4 CM alone or in combination with STI.

FIG. 12. Western blot analysis of Tsp-1 and β-actin expression in lung fibroblasts that is were untreated (−) or treated with LN4 CM alone or in combination with Rac1 inhibitor.

FIGS. 13A-13B. (FIG. 13A) Schematic diagram of miniLRP1 receptors. (FIG. 13B) Western blot analysis of Tsp-1, miniLRP and β-actin expression in 293T cells that were untreated (−) or treated the cyclic prosaposin peptide.

FIGS. 14A-14B. Prosaposin and PRSS2 both require LRP1 for modulation of Tsp-1 expression.

FIGS. 15A-15C. Silencing PRSS2 blocks Tsp-1 repression and tumor formation.

FIGS. 16A-16B. Co-immunoprecipitation of LRP1 peptides with PSAP (FIG. 16A) or PRSS2 (FIG. 16B).

FIG. 17. Mutations in the active site of PRSS2 do not affect the repression of Tsp-1. Mutations were made in the PRSS2 active site that would abolish the enzymatic activity of PRSS2. The mutants were sequenced to confirm the presence of the mutation. The wild-type and mutant PRSS2 proteins were ectopically transfected in 293T cells and the conditioned media was used to treat WI-38 fibroblasts. Tsp-1 and β-actin expression was then analyzed by western blot. It was found that the ability of PRSS2 to repress Tsp-1 was not affected, indicating that binding site for LRP1 is not in the active site and that antibodies against this region do not affect the protease activity of the enzyme.

DETAILED DESCRIPTION OF CERTAIN EMBODIMENTS

Provided herein are novel cancer therapeutic strategies that possess both anti-cancer activity and ability to target the cancer microenvironment to prevent cancer reoccurrence and/or metastasis. The anti-cancer strategies described herein rely, at least in part, on stimulating the activity of a potent anti-angiogenic and anti-tumorigenic protein, Thrombospondin 1 (Tsp-1). “Tsp-1” is a subunit of a disulfide-linked homotrimeric protein. Tsp-1 is an adhesive glycoprotein that mediates cell-to-cell and cell-to-matrix interactions. Tsp-1 binds to fibrinogen, fibronectin, laminin, type V collagen and integrins alpha-V/beta-1 and has been shown to play roles in platelet aggregation, angiogenesis, and tumorigenesis. For the purpose of the present disclosure. Tsp-1 is a potent anti-tumorigenic and anti-angiogenic factor, whose activation suppresses tumor growth and metastasis and represses angiogenesis in the tumor microenvironment.

Prosaposin or prosaposin-derived peptides were previously shown to be able to stimulate the activity of Tsp-1 and are effective for treating multiple types of cancers (see, e.g., PCT publications WO2009002931 WO/2011/084685 and WO12013/096868, WO2015148801 and U.S. patent application Ser. Nos. 12/640,788 and 13/516,511, all of which are incorporated herein by reference in their entirety).

The present disclosure is based, at least in part, on the finding that the stimulating activity of prosaposin or a prosaposin-derived peptide to Tsp-1 is mediated by the Low Density Lipoprotein Receptor Related Protein 1 (LRP1.). “Low Density Lipoprotein Receptor Related Protein 1 (LRP1),” also known as alpha-2-macroglobulin receptor (A2MR), apolipoprotein E receptor (APOER) or cluster of differentiation 91 (CD91), is a protein forming a receptor found in the plasma membrane of cells involved in receptor-mediated endocytosis. In humans, LRP1 is encoded by the LRP1 gene. LRP1 is a key signaling protein and is involved in various biological processes, such as lipoprotein metabolism and cell motility, and diseases, such as neurodegenerative diseases, atherosclerosis, and cancer.

The LRP1 gene encodes a 600 kDa precursor protein that is processed by furin in the trans-Golgi complex, resulting in a 515 kDa alpha-chain and an 85 kDa beta-chain associated noncovalently. As a member of the LDLR family, LRP1 contains cysteine-rich complement-type repeats, EGF (gene) repeats, β-propeller domains, a transmembrane domain, and a cytoplasmic domain. The cytoplasmic domain of LRP1 is the alpha-chain, which comprises four ligand-binding domains (termed “binding domains I-IV”) containing two, eight, ten, and eleven cysteine-rich complement-type repeats, respectively. These repeats bind extracellular matrix proteins, growth factors, proteases, protease inhibitor complexes, and other proteins involved in lipoprotein metabolism. Of the four domains, II and IV bind the majority of the protein's ligands. The EGF repeats and β-propeller domains serve to release ligands in low pH conditions, such as inside endosomes, with the β-propeller postulated to displace the ligand at the ligand binding repeats. The transmembrane domain is the β-chain, which contains a 100-residue cytoplasmic tail. This tail contains two NPxY motifs that are responsible for the protein's function in endocytosis and signal transduction.

To date, no ligand has been identified that binds to binding domain I of LRP1, described herein, binding domain I of LRP1 comprises about amino acids 1-200 of LRP1 and contains the first two β-propeller domains of LRP1. “About” means the binding domain I of LRP1 may be no more than 15% longer or shorter than 200 amino acids. For example, the binding domain I of LRP1 may comprise amino acids 1-200, 1-199, 1-198, 1-197, 1-196, 1-195, 1-194, 1-193, 1-192, 1-191, 1-190, 1-189, 1-188, 1-187, 1-186, 1-185, 1-184, 1-183, 1-182, 1-181, 1-180, 1-179, 1-178, 1-177, 1-176, 1-175, 1-174, 1-173, 1-172, 1-171, 1-170, 1-201, 1-202, 1-203, 1-204, 1-205, 1-206, 1-207, 1-208, 1-209, 1-210, 1-211, 1-212, 1-213, 1-214, 1-215, 1-216, 1-217, 1-218, 1-219, 1-220, 1-221, 1-222, 1-223, 1-224, 1-225, 1-226, 1-227, 1-228, 1-229, or 1-230 of the LRP1 protein. In some embodiments, the binding domain I of LRP1 comprises amino acids 1-172 of the LRP1 protein.

The present disclosure further provides the identification of ligands that bind to binding domain I of LRP1. As demonstrated in the Figures and Examples of the present disclosure, prosaposin or prosaposin-derived peptides were found to bind to the binding domain I of LRP1 and the binding of the prosaposin-derived peptide activates Tsp1 and represses cancer (e.g., FIGS. 13A and 13B). Another ligand of the binding domain I of LRP1 identified in the present disclosure is Protease, serine 2 (PRSS2) (e.g., FIG. 10). “PRSS2” is a trypsinogen and is a member of the trypsin family of serine proteases. PRSS2 is secreted by the pancreas and cleaved to its active form in the small intestine. It is active on peptide linkages involving the carboxyl group of lysine or arginine. As demonstrated herein, PRSS2 represses the activity of Tsp-1 in the tumor microenvironment and thus promotes the progression of cancer. The ability of PRSS2 to repress Tsp-1 is mediated by binding of PRSS2 to binding domain I of the LRP-1 protein.

Accordingly, some aspects of the present disclosure provide agents that bind to the binding domain I of LRP1. Such agents mimic the activity of prosaposin or prosaposin-derived peptides and activates Tsp-1 when bound to binding domain I of LRP1. In some embodiments, the agent binds to a peptide within amino acids 1-172 of the LRP1 protein. In some embodiments, the agent binds to a peptide within the region of amino acids 140-180 of the LRP1 protein. For example, without limitation, the agent may bind to amino acids 140-180, 140-179, 140-178, 140-177, 140-176, 140-175, 140-174, 140-173, 140-172, 140-171, 140-170, 140-169, 140-168, 140-167, 140-166, 140-165, 140-164, 140-163, 140-162, 140-161, 140-160, 141-180, 141-179, 141-178, 141-177, 141-176, 141-175, 141-174, 141-173, 141-172, 141-171, 141-170, 141-169, 141-168, 141-167, 141-166, 141-165, 141-164, 141-163, 141-162, 141-161, 142-180, 142-179, 142-178, 142-177, 142-176, 142-175, 142-174, 142-173, 142-172, 142-171, 142-170, 142-169, 142-168, 142-167, 142-166, 142-165, 142-164, 142-163, 142-162, 143-180, 143-179, 143-178, 143-177, 143-176, 143-175, 143-174, 143-173, 143-172, 143-171, 143-170, 143-169, 143-168, 143-167, 143-166, 143-165, 143-164, 143-163, 144-180, 144-179, 144-178, 144-177, 144-176, 144-175, 144-174, 144-173, 144-172, 144-171, 144-170, 144-169, 144-169, 144-168, 144-167, 144-165, 144-164, 145-180, 145-179, 145-178, 145-177, 145-176, 145-175, 145-174, 145-173, 145-172, 145-171, 145-170, 145-169, 145-168, 145-167, 145-166, 145-165, 146-180, 146-179, 146-178, 146-177, 146-176, 146-175, 146-174, 146-173, 146-172, 146-171, 146-170, 146-169, 146-168, 146-167, 146-166, 147-180, 147-179, 147-178, 147-177, 147-176, 147-175, 147-174, 147-173, 147-172, 147-171, 147-170, 147-169, 147-168, 147-167, 148-180, 148-179, 148-178, 148-177, 148-176, 148-175, 148-174, 148-173, 148-172, 148-171, 148-170, 148-169, 148-168, 149-180, 149-179, 149-178, 149-177, 149-176, 149-175, 149-174, 149-173, 149-172, 149-171, 149-170, 149-169, 150-180, 150-179, 150-178, 150-177, 150-176, 150-175, 150-174, 150-173, 150-172, 150-171, 150-170, 150-170, 151-180, 151-179, 151-178, 151-177, 151-176, 151-175, 151-174, 151-173, 151-172, 151-171, 152-180, 152-179, 152-178, 152-177, 152-176, 152-175, 152-174, 152-173, 152-172, 153-180, 153-179, 153-178, 153-177, 153-176, 153-175, 153-174, 153-173, 153-172, 154-180, 154-179, 154-178, 154-177, 154-176, 154-175, 154-174, 154-173, 154-172, 156-180, 156-179, 156-178, 156-177, 156-176, 156-175, 156-174, 156-173, 156-172, 156-180, 156-179, 156-178, 156-177, 156-176, 156-175, 156-174, 156-173, 156-172, 157-180, 157-179, 157-178, 157-177, 157-176, 157-175, 157-174, 157-173, 157-172, 158-180, 158-179, 158-178, 158-177, 158-176, 158-175, 158-174, 158-173, 158-172, 159-180, 159-179, 159-178, 159-177, 159-176, 159-175, 159-174, 159-173, 159-172, 160-180, 160-179, 160-178, 160-177, 160-176, 160-175, 160-174, 160-173, or 160-172 of the LRP1 protein.

In some embodiments, the agent binds to amino acids 151-172 of the LRP1 protein. For example, the agent may bind to amino acids 151-172, 151-171, 151-170,151-169, 151-168, 151-167, 151-166, 151-165, 151-164, 151-163, 151-162, 151-161, 151-160, 152-172, 152-171, 152-170,152-169, 152-168, 152-167, 152-166, 152-165, 152-164, 152-163, 152-162, 152-161, 153-172, 153-171, 153-170,153-169, 153-168, 153-167, 153-166, 153-165, 153-164, 153-163, 153-162, 154-172, 154-171, 154-170,154-169, 154-168, 154-167, 154-166, 154-165, 154-164, 154-163, 155-172, 155-171, 155-170,155-169, 155-168, 155-167, 155-166, 155-165, 155-164, 156-172, 156-171, 156-170,156-169, 156-168, 156-167, 156-166, 156-165, 156-164, 157-172, 157-171, 157-170,157-169, 157-168, 157-167, 157-166, 158-172, 158-171, 158-170,158-169, 158-168, 158-167, 159-172, 159-171, 159-170,159-169, 159-168, 160-172, 160-171, 160-170, 160-169, 161-172, 161-171, 161-170, 162-172, 162-171, or 163-172 of the LRP1 protein.

In some embodiments, the agent binds to amino acids 140-164 in the binding domain of the LRP1 protein. For example, the agent may bind to amino acids 140-164, 140-163, 140-162, 140-161, 140-160, 140-159, 140-158, 140-157, 140-156, 140-155, 140-154, 140-153, 140-152, 140-151, 140-150, 141-164, 141-163, 141-162, 141-161, 141-160, 141-159, 141-158, 141-157, 141-156,141-155, 141-154,141-153, 141-152, 141-151, 142-164, 142-163, 142-162, 142-161, 142-160, 142-159, 142-158, 142-157, 142-156, 142-155, 142-154, 142-153, 142-152, 143-164, 143-163, 143-162, 143-161, 143-160, 143-159, 143-158, 143-157, 143-156, 143-155, 143-154, 143-153, 144-164, 144-163, 144-162, 144-161, 144-160, 144-159, 144-158, 144-157, 144-156, 144-155, 144-154, 145-164, 145-163, 145-162, 145-161, 145-160, 145-159, 145-158, 145-157, 145-156, 145-155, 146-164, 146-163, 146-162, 146-161, 146-160, 146-159, 146-158, 146-157, 146-156, 147-164, 147-163, 147-162, 147-161, 147-160, 147-159, 147-158, 147-157, 148-164, 148-163, 148-162, 148-161, 148-160, 148-159, 148-158, 149-164, 149-163, 149-162, 149-161, 149-160, 149-159, 150-164, 150-163, 150-162, 150-161, 150-160, 151-164, 151-163, 151-162, 151-161, 152-164, 152-163, 152-162, 153-164, 153-163, or 154-164 of the LRP1 protein.

In some embodiments, the agent binds to amino acids 151-164 in the binding domain of the LRP1 protein. For example, the agent may bind to amino acids 151-164, 151-163, 151-162, 151-161, 151-160, 151-159, 151-158, 151-157, 151-156, 152-164, 152-163, 152-162, 152-161, 152-160, 152-159, 152-158, 152-157, 153-164, 153-163, 153-162,153-161, 153-160, 153-159, 153-158, 154-164, 154-163, 154-162, 154-161, 154-160, 154-159, 155-164, 155-163, 155-162, 155-161, 155-160, 156-164, 156-163, 156-162, 156-161, 157-164, 157-163, 157-162, 158-164, 158-163, or 159-164 of the LRP1 protein.

In some embodiments, the agent may be a mixture of agents that bind different portions of the binding domain I (e.g., amino acids 1-172) of the LRP1 protein.

The amino acid sequences of full-length LRP1, amino acids 1-172 of LRP1, amino acids 140-164 of LRP-1, amino acids 151-172 of LRP1, and amino acids 151-164 of LRP1 are provided. The amino acid numbers provided herein are corresponding to the full-length LRP1 protein. One skilled in the art is able to ascertain the position and the amino acid sequence of the peptide that is bound by the agent described herein.

Full length LRP1 (SEQ ID NO: 1, sequence does not contain the N-terminal 20 amino acid signal sequence, which is removed after translation of the protein) IDAPKTCSPKQFACRDQITCISKGWRCDGERDCPDGSDEAPEICPQSKA QRCQPNEHNCLGTELCVPMSRLCNGVQDCMDGSDEGPHCRELQGNCSRL GCQHHCVPTLDGPTCYCNSSFQLQADGKTCKDFDECSVYGTCSQLCTNT DGSFICGCVEGYLLQPDNRSCKAKNEPVDRPPVLLIANSQNILATYLSG AQVSTITPTSTRQTTAMDFSYANETCWVHVGDSAAQTQLKCARMPGLKG FVDEHTINISLSLHHVEQMAIDWLTGNFYFVDDIDDRIFVCNRNGDTCV TLLDLELYNPKGIALDPAMGKVFFTDYGQIPKVERCDMDGQNRTKLVDS KIVFPHGITLDLVSRLVYWADAYLDYIEVVDYEGKGRQTIIQGILIEHL YGLTVFENYLYATNSDNANAQQKTSVIRVNRFNSTEYQVVTRVDKGGAL HIYHQRRQPRVRSHACENDQYGKPGGCSDICLLANSHKARTCRCRSFGS LGSDGKSCKKPEHELFLVYGKGRPGIIRGMDMGAKVPDEHMIPIENLMN PRALDFHAETGFIYFADTTSYLIGRQKIDGTERETILKDGIHNVEGVAV DWMGDNLYWTDDGPKKTISVARLEKAAQTRKTLIEGKMTHPRAIVVDPL NGWMYWTDWEEDPKDSRRGRLERAWMDGSHRDIFVTSKTVLWPNGLSLD IPAGRLYWVDAFYDRIETILLNGTDRKIVYEGPELNHAFGLCHHGNYLF WTEYRSGSVYRLERGVGGAPPTVTLLRSERPPIFEIRMYDAQQQQVGTN KCRVNNGGCSSLCLATPGSRQCACAEDQVLDADGVTCLANPSYVPPPQC QPGEFACANSRCIQERWKCDGDNDCLDNSDEAPALCHQHTCPSDRFKCE NNRCIPNRWLCDGDNDCGNSEDESNATCSARTCPPNQFSCASGRCIPIS WTCDLDDDCGDRSDESASCAYPTCFPLTQFTCNNGRCININWRCDNDND CGDNSDEAGCSHSCSSTQFKCNSGRCIPEHWTCDGDNDCGDYSDETHAN CTNQATRPPGGCHTDEFQCRLDGLCIPLRWRCDGDTDCMDSSDEKSCEG VTHVCDPSVKGFCKDSARCISKAWVCDGDNDCEDNSDEENCESLACRPP SHPCANNTSVCLPPDKLCDGNDDCGDGSDEGELCGQCSLNNGGCSHNCS VAPGEGIVCSCPLGMELGPDNHTCQIQSYCAKHLKCSQKCDQNKFSVKC SCYEGWVLEPDGESCRSLDPFKPFIIFSNRHEIRRIDLHKGDYSVLVPG LRNTIALDFHLSQSALYWTDVVEDKIYRGKLLDNGALTSFEVVIQYGLA TPEGLAVDWIAGNIYWVESNLDQIEVAKLDGTLRTTLLAGDIEHPRAIA LDPRDGILFWTDWDASLRPRIEAASMSGAGRRTVHRETGSGGWPNGLTV DYLEKRILWIDARSDAIYSARYDGSGHMEVLRGHEFLSHPFAVTLYGGE VYWTDWRTNTLAKANKWTGHNVTVVQRTNTQPFDLQVYHPSRQPMAPNP CEANGGQGPCSHLCLINYNRTVSCACPHLMKLHKDNTTCYEFKKFLLYA RQMEIRGVDLDAPYYNYIISFTVPDIDNVTVLDYDAREQRVYWSDVRTQ AIKRAFINGTGVETVVSADLPNAHGLAVDWVSRNLFWTSYDTNKKQINV ARLDGSFKNAVVQGLEQPHGLVVHPLRGKLYWTDGDNISMANMDGSNRT LLFSGQKGPVGLAIDFPESKLYWISSGNHTINRCNLDGSGLEVIDAMRS QLGKATLALAIMGDKLWWADQVSEKMGTCSKADGSGSVVLRNSTTLVMH MKVYDESIQLDHKGTNPCSVNNGDCSQLCLPTSETTRSCMCTAGYSLRS GQQACEGVGSFLLYSVHEGIRGIPLDPNDKSDALVPVSGTLSAVGIDFH AENDTIYWVDMGLSTISRAKRDQTWERDVVTNGIGRVEGAIVDWIAGNI YWTDQGFDVEIVARLNGSFRYVVISQGLDKPRAITVHPEKGYLFWTEWG QYPRIERSRLDGTERVVLVNVSISWPNGISVDYQDGKLYWCDARTDKIE RIDLETGENREVVLSSNNMDMFSVSVFEDFIYWSDRTHANGSIKRGSKD NATDSVPLRTGIGVQLKDIKVFNRDRQKGTNVCAVANGGCQQLCLYRGR GQRACACAHGMLAEDGASCREYAGYLLYSERTILKSIHLSDERNLNAPV QPFEDPEHMKNVAILAFDYRAGTSPGTPNRIFFSDIHFGNIQQINDDGS RRITIVENVGSVEGLAYHRGWDTLYWTSYTTSTITRHTVDQTRPGAFER ETVITMSGDDHPRAFVLDECQNLMFWTNWNEQHPSIMRAALSGANVLTL IEKDIRTPNGLAIDHRAEKLYFSDATLDKIERCEYDGSHRYVILKSEPV HPFGLAVYGEHIFWTDWVRRAVQRANKHVGSNMKLLRVDIPQQPMGIIA VANDTNSCELSPCRINNGGCQDLCLLTHQGHVNCSCRGGRILQDDLTCR AVNSSRAQDEFECANGECINFSLTCDGVPHCKDKSDEKPSYCNSRRCKK TFRQCSNGRCVSNMLWCNGADDCGDGSDEIPCNKTACGVGEFRCRDGTC IGNSRRCNQFVDCEDASDEMNCSATDCSSYFRLGVKGVLFQPCERTSLC YAPSWVCDGANDCGDYSDERDCPGVKRPRCPLNYFACPSGRCIPMSWTC DKEDDCEHGEDETHCNKFCSEAQFECQNHRCISKQWLLCDGSDDCGDGS DEAAHCEGKTCGPSSFSCPGTHVCVPERWLCDGDKDCADGADESIAAGC LYNSTCDDREFMCQNRQCIPKHFVCDHDRDCADGSDESPECEYPTCGPS EFRCANGRCLSSRQWECDGENDCHDQSDEAPKNPHCTSQEHKCNASSQF LCSSGRCVAEALLCNGQDDCGDSSDERGCHINECLSRKLSGCSQDCEDL KIGFKCRCRPGFRLKDDGRTCADVDECSTTFPCSQRCINTHGSYKCLCV EGYAPRGGDPHSCKAVTDEEPFLIFANRYYLRKLNLDGSNYTLLKQGLN NAVALDFDYREQMIYWTDVTTQGSMIRRMHLNGSNVQVLHRTGLSNPDG LAVDWVGGNLYWCDKGRDTIEVSKLNGAYRTVLVSSGLREPRALVVDVQ NGYLYWTDWGDHSLIGRIGMDGSSRSVIVDTKITWPNGLTLDYVTERIY WADAREDYIEFASLDGSNRHVVLSQDIPHIFALTLFEDYVYWTDWETKS INRAHKTTGTNKTLLISTLHRPMDLHVFHALRQPDVPNHPCKVNNGGCS NLCLLSPGGGHKCACPTNFYLGSDGRTCVSNCTASQFVCKNDKCIPFWW KCDTEDDCGDHSDEPPDCPEFKCRPGQFQCSTGICTNPAFICDGDNDCQ DNSDEANCDIHVCLPSQFKCTNTNRCIPGIFRCNGQDNCGDGEDERDCP EVTCAPNQFQCSITKRCIPRVWVCDRDNDCVDGSDEPANCTQMTCGVDE FRCKDSGRCIPARWKCDGEDDCGDGSDEPKEECDERTCEPYQFRCKNNR CVPGRWQCDYDNDCGDNSDEESCTPRPCSESEFSCANGRCIAGRWKCDG DHDCADGSDEKDCTPRCDMDQFQCKSGHVIPLRWRCDADADCMDGSDEE ACGTGVRTCPLDEFQCNNTLCKPLAWKCDGEDDCGDNSDENPEECARFV CPPNRPFRCKNDRVCLWIGRQCDGTDNCGDGTDEEDCEPPTAHTTHCKD KKEFLCRNQRCLSSSLRCNMFDDCGDGSDEEDCSIDPKLTSCATNASIC GDEARCVRTEKAAYCACRSGFHTVPGQPGCQDINECLRFGTCSQLCNNT KGGHLCSCARNFMKTHNTCKAEGSEYQVLYIADDNEIRSLFPGHPHSAY EQAFQGDESVRIDAMDVHVKAGRVYWTNWHTGTISYRSLPPAAPPTTSN RHRRQIDRGVTHLNISGLKMPRGIAIDWVAGNVYWTDSGRDVIEVAQMK GENRKTLISGMIDEPHAIVVDPLRGTMYWSDWGNHPKIETAAMDGTLRE TLVQDNIQWPTGLAVDYHNERLYWADAKLSVIGSIRLNGTDPIVAADSK RGLSHPFSIDVFEDYIYGVTYINNRVFKIHKFGHSPLVNLTGGLSHASD VVLYHQHKQPEVTNPCDRKKCEWLCLLSPSGPVCTCPNGKRLDNGTCVP VPSPTPPPDAPRPGTCNLQCFNGGSCFLNARRQPKCRCQPRYTGDKCEL DQCWEHCRNGGTCAASPSGMPTCRCPTGFTGPKCTQQVCAGYCANNSTC TVNQGNQPQCRCLPGFLGDRCQYRQCSGYCENFGTCQMAADGSRQCRCT AYFEGSRCEVNKCSRCLEGACVVNKQSGDVTCNCTDGRVAPSCLTCVGH CSNGGSCTMNSKMMPECQCPPHMTGPRCEEHVFSQQQPGHIASILIPLL LLLLLVLVAGVVFWYKRRGQGAKGFQHQRMTNGAMNVEIGNPTYKMYEG GEPDDVGGLLDADFALDPDKPTNFTNPVYATLYMGGHGSRHSLASTDEK RELLGRGPEDEIGDPLA LRP1 amino acids 1-172 (SEQ ID NO: 2) IDAPKTCSPKQFACRDQITCISKGWRCDGERDCPDGSDEAPEICPQSKA QRCQPNEHNCLGTELCVPMSRLCNGVQDCMDGSDEGPHCRELQGNCSRL GCQHHCVPTLDGPTCYCNSSFQLQADGKTCKDFDECSVYGTCSQLCTNT DGSFICGCVEGYLLQPDNRSCKAKN LRP1 amino acids 140-164 (SEQ ID NO: 18) YGTCSQLCTNTDGSFICGCVEGYLL LRP1 amino acids 151-172 (SEQ ID NO: 3) FICGCVEGYLLQPDNRSCKAKN LRP1 amino acids 151-164 (SEQ ID NO: 19) FICGCVEGYLL

In some embodiments, the agent that binds to the binding domain I of LRP1 is a protein or peptide. In some embodiments, the agent that binds to the binding domain I of LRP1 is an antibody. In some embodiments, the agent that binds to the binding domain I of LRP1 is an antibody fragment. In some embodiments, the agent that bind to binding domain I of the LRP protein (e.g., amino acids 1-172) is a small molecule. One skilled in the art is familiar with methods of identifying small molecules that bind to any protein or peptide.

The agent described herein (e.g., an antibody or a small molecule), when binds to binding domain I of the LRP1 protein (e.g., amino acids 1-172), activates a Rho-GTPase pathway. In some embodiments, the Rho-GTPase pathway is mediated by LRP-1. This is based, at least in part, on the findings of the present disclosure that a prosaposin-derived peptide activates the Rho-GTPase pathway in a LRP1-dependent manner (e.g., FIG. 8A), which in turn stimulates Tsp-1 and suppresses cancer, and that the prosaposin-derived peptide binds to LRP1 in binding domain I (e.g., FIGS. 13A and 13B).

A “Rho-GTPase” is a molecular switch that controls a wide variety of signal transduction pathways in all eukaryotic cells. Rho GTPases play important roles in regulating the actin cytoskeleton, regulating cell polarity, microtubule dynamics, membrane transport pathways, and transcription. A “Rho-GTPase pathway” refers to a signal transduction pathway that is regulated by a Rho GTPase. “Activate a Rho-GTPase pathway” means the intensity of a signaling pathway regulated by a Rho GTPase is enhanced by at least 30% (e.g., at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 100%, at least 2-fold, at least 3-fold, at least 5-fold, at least 10-fold, at least 20-fold, at least 50-fold, at least 100-fold, or more) after the activation, compared to before.

“Stimulate,” as used herein, means to activate or to increase the level or activity of a biological molecule (e.g., a protein). For example, the agent of the present disclosure “stimulates Tsp-1” means the expression level or activity level of Tsp1 is increased by at least 30% (e.g., at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 100%, at least 2-fold, at least 3-fold, at least 5-fold, at least 10-fold, at least 20-fold, at least 50-fold, at least 100-fold, or more) in the presence of the agent, as compared to without the agent.

Further provided herein are agents that inhibit function of PRSS2. “The function of PRSS2” refers to its protease function and any other biological function it has. Known biological function of PRSS2 include, but are not limited to: (i) upregulation in a subject with pancreatitis; (ii) activating pro-urokinase in ovarian tumors; (iii) cleaving type II collagen triple helix in rheumatoid arthritis synovitis tissue; and (iv) degrading type II collagen-rich cartilage matrix. It is described herein that PRSS2 binds to LRP1 and represses Tsp-1.

In some embodiments, the agent may inhibit the ability of PRSS2 to repress Tsp-1. In some embodiments, the agent inhibits the expression of PRSS2. In some embodiments, the agent inhibits the binding of PRSS2 to LRP1 (e.g., to binding domain I of LRP1). In some embodiments, the agent does not inhibit the enzymatic activity (protease activity) of PRSS2.

“Inhibit,” as used herein, means to prevent expression, to reduce the level of a protein PRSS2), or to decrease the activity of a biological molecule (e.g., a protein). For example, an agent that inhibits the expression of PRSS2 may prevent PRSS2 from being expressed, or it may reduce the level of PRSS2 by at least 30% (e.g., by at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 99%, or more), compared to in the absence of the agent. An agent that inhibits the binding of PRSS2 to LRP1 may reduce the amount of PRSS2 that binds to LRP1 by (e.g., by at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 99%, or more), compared to in the absence of the agent.

Agents that inhibit the expression of a protein is known in the art. For example, protein expression may be inhibited by RNA interference (RNAi). “RNA interference (RNAi) is a biological process in which RNA molecules inhibit gene expression or translation, by neutralizing targeted mRNA molecules. In some embodiments, the agent is a microRNA, a small interfering RNA (siRNA), or a short hairpin RNA (shRNA) that inhibits the expression of PRSS2. A “microRNA” is a small non-coding RNA molecule (containing about 22 nucleotides) that functions in RNA silencing and post-transcriptional regulation of gene expression. A “siRNA” is a commonly used RNA interference (RNAi) tool for inducing short-term silencing of protein coding genes. siRNA is a synthetic RNA duplex designed to specifically target a particular mRNA for degradation. A “shRNA” an artificial RNA molecule with a tight hairpin turn that can be used to silence target gene expression via RNA interference (RNAi). Expression of shRNA in cells is typically accomplished by delivery of plasmids or through viral or bacterial vectors. In some embodiments, the shRNA that inhibits the expression of PRSS2 comprises the nucleotide sequence of CCGGTCTGAGTTCTGGTGCCGACTACTCGAGTAGTCGGCACCAGAACTCAGATTTT TG (SEQ ID NO: 4). The exemplary shRNA sequence is not meant to be limiting. One skilled in the art is familiar with methods of gene silencing using any of the RNA molecules described herein.

In some embodiments, the agent inhibits binding of PRSS2 to LRP1. In some embodiments, inhibiting binding of PRSS2 to LRP1 inhibits the repression of Tsp-1 by PRSS2. “Inhibits the repression of Tsp-1” means that the agent reduces the repression of PRSS2 on Tsp-1 expression or activity by at least 30% (e.g., by at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 99%, or more), compared to in the absence of the agent.

In some embodiments, an agent that inhibits binding of PRSS2 to LRP1 is a protein or a peptide that binds to PRSS2. In some embodiments, the protein or peptide is derived from binding domain I of LRP1 (e.g., amino acids 1-172 of LRP1). For example, the protein or peptide that inhibits binding of PRSS2 to LRP1 may comprise an amino acid sequence that is at least 80% identical to the amino acid sequence corresponding to amino acids 1-200, 1-199, 1-198, 1-197, 1-196, 1-195, 1-194, 1-193, 1-192, 1-191, 1-190, 1-189, 1-188, 1-187, 1-186, 1-185, 1-184, 1-183, 1-182, 1-181, 1-180, 1-179, 1-178, 1-177, 1-176, 1-175, 1-174, 1-173, 1-172, 1-171, 1-170, 1-201, 1-202, 1-203, 1-204, 1-205, 1-206, 1-207, 1-208, 1-209, 1-210, 1-211, 1-212, 1-213, 1-214, 1-215, 1-216, 1-217, 1-218, 1-219, 1-220, 1-221, 1-222, 1-223, 1-224, 1-225, 1-226, 1-227, 1-228, 1-229, or 1-230 of the LRP1 protein. In some embodiments, the protein or peptide that inhibits binding of PRSS2 to LRP1 may comprise an amino acid sequence that is at least 80%, at least 85%, at least 90%, at least 95%, at least 99% or more identical to amino acid sequence corresponding to amino acids 1-200, 1-199, 1-198, 1-197, 1-196, 1-195, 1-194, 1-193, 1-192, 1-191, 1-190, 1-189, 1-188, 1-187, 1-186, 1-185, 1-184, 1-183, 1-182, 1-181, 1-180, 1-179, 1-178, 1-177, 1-176, 1-175, 1-174, 1-173, 1-172, 1-171, 1-170, 1-201, 1-202, 1-203, 1-204, 1-205, 1-206, 1-207, 1-208, 1-209, 1-210, 1-211, 1-212, 1-213, 1-214, 1-215, 1-216, 1-217, 1-218, 1-219, 1-220, 1-221, 1-222, 1-223, 1-224, 1-225, 1-226, 1-227, 1-228, 1-229, or 1-230 of the LRP1 protein.

In some embodiments, the protein or peptide that inhibits binding of PRSS2 to LRP1 comprises an amino acid sequence that is at least 80% (e.g., at least 80%, at least 90%, or 100%) identical to the amino acid sequence corresponding to about amino acids 140-180 of the LRP1 protein. For example, the protein or peptide that inhibits binding of PRSS2 to LRP1 may comprise an amino acid sequence that is at least 80% (e.g., at least 80%, at least 90%, or 100%) identical to the amino acid sequence corresponding to amino acids 140-180, 140-179, 140-178, 140-177, 140-176, 140-175, 140-174, 140-173, 140-172, 140-171, 140-170, 140-169, 140-168, 140-167, 140-166, 140-165, 141-180, 141-179, 141-178, 141-177, 141-176, 141-175, 141-174, 141-173, 141-172, 141-171, 141-170, 141-169, 141-168, 141-167, 141-166, 142-180, 142-179, 142-178, 142-177, 142-176, 142-175, 142-174, 142-173, 142-172, 142-171, 142-170, 142-169, 142-168, 142-167, 143-180, 143-179, 143-178, 143-177, 143-176, 143-175, 143-174, 143-173, 143-172, 143-171, 143-170, 143-169, 143-168, 144-180, 144-179, 144-178, 144-177, 144-176, 144-175, 144-174, 144-173, 144-172, 144-171, 144-170, 144-169, 145-180, 145-179, 145-178, 145-177, 145-176, 145-175, 145-174, 145-173, 145-172, 145-171, 145-170, 146-180, 146-179, 146-178, 146-177, 146-176, 146-175, 146-174, 146-173, 146-172, 146-171, 147-180, 147-179, 147-178, 147-177, 147-176, 147-175, 147-174, 147-173, 147-172, 148-180, 148-179, 148-178, 148-177, 148-176, 148-175, 148-174, 148-173, 149-180, 149-179, 149-178, 149-177, 149-176, 149-175, 149-174, 149-173, 149-172, 151-180, 151-179, 151-178, 151-177, 151-176, 151-175, 151-174, 151-173, 151-172, 152-180, 152-179, 152-178, 152-177, 152-176, 152-175, 152-174, 152-173, 152-172, 153-180, 153-179, 153-178, 153-177, 153-176, 153-175, 153-174, 153-173, 153-172, 154-180, 154-179, 154-178, 154-177, 154-176, 154-175, 154-174, 154-173, 154-172, 156-180, 156-179, 156-178, 156-177, 156-176, 156-175, 156-174, 156-173, 156-172, 156-180, 156-179, 156-178, 156-177, 156-176, 156-175, 156-174, 156-173, 156-172, 157-180, 157-179, 157-178, 157-177, 157-176, 157-175, 157-174, 157-173, 157-172, 158-180, 158-179, 158-178, 158-177, 158-176, 158-175, 158-174, 158-173, 158-172, 159-180, 159-179, 159-178, 159-177, 159-176, 159-175, 159-174, 159-173, 159-172, 160-180, 160-179, 160-178, 160-177, 160-176, 160-175, 160-174, 160-173, or 160-172 of the LRP1 protein. In some embodiments, the protein or peptide that inhibits binding of PRSS2 to LRP1 comprises an amino acid sequence that is at least 80% (e.g., at least 80%, at least 90%, or 100%) identical to the amino acid sequence corresponding to amino acids 151-172 of the LRP1 protein (SEQ ID NO: 3). In some embodiments, the protein or peptide that inhibits binding of PRSS2 to LRP1 comprises an amino acid sequence that is at least 80% (e.g., at least 80%, at least 90%, or 100%) identical to the amino acid sequence corresponding to amino acids 140-164 of the LRP1 protein (SEQ ID NO: 18). In some embodiments, the protein or peptide that inhibits binding of PRSS2 to LRP1 comprises an amino acid sequence that is at least 80% (e.g., at least 80%, at least 90%, or 100%) identical to the amino acid sequence corresponding to amino acids 151-164 of the LRP1 protein (SEQ ID NO: 19).

In some embodiments, the protein or peptide that inhibits binding of PRSS2 to LRP1 is an antibody or an antibody fragment. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody. In some embodiments, the antibody binds to a region of PRSS2 where PRSS2 binds LRP-1. In some embodiments, the agent that inhibits PRSS2 function is a small molecule.

The term “bind” refers to the association of two entities (e.g., two proteins). Two entities (e.g., two proteins) are considered to bind to each other when the affinity (KD) between them is <10⁻⁴ M, <10⁻⁵ M, <10⁻⁶ M, <10⁻⁷ M, <10⁻⁸ M, <10⁻⁹ M, <10⁻¹⁰ M, <10⁻¹¹ M, or <10⁻¹² M. One skilled in the art is familiar with how to assess the affinity of two entities (e.g., two proteins).

The terms “protein,” “peptide,” and “polypeptide” are used interchangeably herein, and refer to a polymer of amino acid residues linked together by peptide (amide) bonds. The terms refer to a protein, peptide, or polypeptide of any size, structure, or function. Typically, a protein, peptide, or polypeptide will be at least three amino acids long. A protein, peptide, or polypeptide may refer to an individual protein or a collection of proteins. One or more of the amino acids in a protein, peptide, or polypeptide may be modified, for example, by the addition of a chemical entity such as a carbohydrate group, a hydroxyl group, a phosphate group, a farnesyl group, an isofarnesyl group, a fatty acid group, a linker for conjugation, functionalization, or other modification, etc. A protein, peptide, or polypeptide may also be a single molecule or may be a multi-molecular complex. A protein, peptide, or polypeptide may be just a fragment of a naturally occurring protein or peptide. A protein, peptide, or polypeptide may be naturally occurring, recombinant, or synthetic, or any combination thereof.

A peptide that is “derived from” a protein (e.g., a peptide derived from binding domain I of LRP1) means the peptide is obtained from the protein and has an amino acid sequence that shares homology with the fragment of the protein it corresponds to. The amino acid sequence of the peptide may be at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 99% or 100% identical to the amino acid sequence of the fragment of the protein it corresponds to. A peptide that is derived from a protein may also contain chemical modifications, amino acid substitutions, and/or unnatural amino acids.

An “antibody” or “immunoglobulin (Ig)” is a large, Y-shaped protein produced mainly by plasma cells that is used by the immune system to neutralize an exogenous substance (e.g., a pathogens such as bacteria and viruses). Antibodies are classified as IgA, IgD, IgE, IgG, and IgM. “Antibodies” and “antibody fragments” include whole antibodies and any antigen binding fragment (i.e., “antigen-binding portion”) or single chain thereof. An “antibody” refers to a glycoprotein comprising at least two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds, or an antigen binding portion thereof. Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain constant region is comprised of three domains, CH1, CH2 and CH3. Each light chain is comprised of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region is comprised of one domain, CL. The VH and VL regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDR), interspersed with regions that are more conserved, termed framework regions (FR). Each VH and VL is composed of three CDRs and four FRs, arranged from amino-terminus to carboxy-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. The variable regions of the heavy and light chains contain a binding domain that interacts with an antigen. The constant regions of the antibodies may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) and the first component (C1q) of the classical complement system. An antibody may be a polyclonal antibody or a monoclonal antibody.

The basic 4-chain antibody unit is a heterotetrameric glycoprotein composed of two identical L chains and two H chains (an IgM antibody consists of 5 of the basic heterotetramer unit along with an additional polypeptide called J chain, and therefore contain 10 antigen binding sites, while secreted IgA antibodies can polymerize to form polyvalent assemblages comprising 2-5 of the basic 4-chain units along with J chain). In the case of IgGs, the 4-chain unit is generally about 150,000 daltons. Each L chain is linked to a H chain by one covalent disulfide bond, while the two H chains are linked to each other by one or more disulfide bonds depending on the H chain isotype. Each H and L chain also has regularly spaced intrachain disulfide bridges. Each H chain has at the N-terminus, a variable domain (VH) followed by three constant domains (CH) for each of the α and γ chains and four CH domains for μ and ε isotypes. Each L chain has at the N-terminus, a variable domain (VL) followed by a constant domain (CL) at its other end. The VL is aligned with the VH and the CL is aligned with the first constant domain of the heavy chain (CH1). Particular amino acid residues are believed to form an interface between the light chain and heavy chain variable domains. The pairing of a VH and VL together forms a single antigen-binding site. For the structure and properties of the different classes of antibodies, (e.g., Basic and Clinical Immunology, 8th edition, Daniel P. Stites, Abba I. Terr and Tristram G. Parslow (eds.), Appleton & Lange, Norwalk, Conn., 1994, page 71 and Chapter 6, incorporated herein by reference).

The L chain from any vertebrate species can be assigned to one of two clearly distinct types, called kappa and lambda, based on the amino acid sequences of their constant domains. Depending on the amino acid sequence of the constant domain of their heavy chains (CH), immunoglobulins can be assigned to different classes or isotypes. There are five classes of immunoglobulins: IgA, IgD, IgE, IgG, and IgM, having heavy chains designated α, δ, ε, γ and μ, respectively. The γ and α classes are further divided into subclasses on the basis of relatively is minor differences in CH sequence and function, e.g., humans express the following subclasses: IgG1, IgG2, IgG3, IgG4, IgA1, and IgA2.

The V domain mediates antigen binding and define specificity of a particular antibody for its particular antigen. However, the variability is not evenly distributed across the 110-amino acid span of the variable domains. Instead, the V regions consist of relatively invariant stretches called framework regions (FRs) of 15-30 amino acids separated by shorter regions of extreme variability called “hypervariable regions” that are each 9-12 amino acids long. The variable domains of native heavy and light chains each comprise four FRs, largely adopting a β-sheet configuration, connected by three hypervariable regions, which form loops connecting, and in some cases forming part of, the β-sheet structure. The hypervariable regions in each chain are held together in close proximity by the FRs and, with the hypervariable regions from the other chain, contribute to the formation of the antigen-binding site of antibodies (see, e.g., Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, Md. (1991), incorporated herein by reference). The constant domains are not involved directly in binding an antibody to an antigen, but exhibit various effector functions, such as participation of the antibody in antibody dependent cellular cytotoxicity (ADCC).

An “antibody fragment” for use in accordance with the present disclosure contains the antigen-binding portion of an antibody. The antigen-binding portion of an antibody refers to one or more fragments of an antibody that retain the ability to specifically bind to an antigen. It has been shown that the antigen-binding function of an antibody can be performed by fragments of a full-length antibody. Examples of binding fragments encompassed within the term “antigen-binding portion” of an antibody include (i) a Fab fragment, a monovalent fragment consisting of the VL, VH, CL and CH1 domains; (ii) a F(ab′)2 fragment, a bivalent fragment comprising two Fab fragments linked by a disulfide bridge at the hinge region; (iii) a Fd fragment consisting of the VH and CH1 domains; (iv) a Fv fragment consisting of the VL and VH domains of a single arm of an antibody, (v) a dAb fragment (e.g., as described in Ward et al., (1989) Nature 341:544-546, incorporated herein by reference), which consists of a VH domain; and (vi) an isolated complementarity determining region (CDR). Furthermore, although the two domains of the Fv fragment, VL and VH, are coded for by separate genes, they can be joined, using recombinant methods, by a synthetic linker that enables them to be made as a single protein chain in which the VL and VH regions pair to form monovalent molecules (known as single chain Fv (scFv); see e.g., Bird et al. (1988) Science 242:423-426; and Huston et al, (1988) Proc. Natl. Acad. Sci. USA 85:5879-5883, incorporated herein by reference). Such single chain antibodies are also intended to be encompassed within the term “antigen-binding portion” of an antibody. These antibody fragments are obtained using conventional techniques known to those with skill in the art, and the fragments are screened for utility in the same manner as are full-length antibodies.

In some embodiments, an antibody fragment may be a Fc fragment, a Fv fragment, or a single-change Fv fragment. The Fc fragment comprises the carboxy-terminal portions of both H chains held together by disulfides. The effector functions of antibodies are determined by sequences in the Fc region, which region is also the part recognized by Fc receptors (FcR) found on certain types of cells.

The Fv fragment is the minimum antibody fragment which contains a complete antigen-recognition and -binding site. This fragment consists of a dimer of one heavy- and one light-chain variable region domain in tight, non-covalent association. From the folding of these two domains emanate six hypervariable loops (3 loops each from the H and L chain) that contribute the amino acid residues for antigen binding and confer antigen binding specificity to the antibody. However, even a single variable domain (or half of an Fv comprising only three CDRs specific for an antigen) has the ability to recognize and bind antigen, although at a lower affinity than the entire binding site.

Single-chain Fv also abbreviated as “sFv” or “scFv” are antibody fragments that comprise the VH and VL antibody domains connected into a single polypeptide chain. Preferably, the sFv polypeptide further comprises a polypeptide linker between the VH and VL domains which enables the sFv to form the desired structure for antigen binding (e.g., as described in Pluckthun in The Pharmacology of Monoclonal Antibodies, vol. 113, Rosenburg and Moore eds., Springer-Verlag, New York, pp. 269-315 (1994); Borrebaeck 1995, incorporated herein by reference).

Antibodies may be isolated. An isolated antibody is one which has been identified and separated and/or recovered from a component of its natural environment. Contaminant components of its natural environment are materials which would interfere with diagnostic or therapeutic uses for the antibody, and may include enzymes, hormones, and other proteinaceous or nonproteinaceous solutes. In preferred embodiments, the antibody will be purified (1) to greater than 95% by weight of antibody as determined by the Lowry method, and most preferably more than 99% by weight, (2) to a degree sufficient to obtain at least 15 residues of N-terminal or internal amino acid sequence by use of a spinning cup sequenator, or (3) to homogeneity by SDS-PAGE under reducing or non-reducing conditions using Coomassie blue or, preferably, silver stain. Isolated antibody includes the antibody in situ within recombinant cells since at least one component of the antibody's natural environment will not be present. Ordinarily, however, isolated antibody will be prepared by at least one purification step.

In some embodiments, the antibody of the present disclosure is a monoclonal antibody. A “monoclonal antibody” is an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that may be present in minor amounts. Monoclonal antibodies are highly specific, being directed against a single antigenic site. Furthermore, in contrast to polyclonal antibody preparations which include different antibodies directed against different determinants (epitopes), each monoclonal antibody is directed against a single determinant on the antigen. In addition to their specificity, the monoclonal antibodies are advantageous in that they may be synthesized uncontaminated by other antibodies. The modifier “monoclonal” is not to be construed as requiring production of the antibody by any particular method. For example, the monoclonal antibodies useful in the present invention may be prepared by the hybridoma methodology first described by Kohler et al., Nature, 256:495 (1975), or may be made using recombinant DNA methods in bacterial, eukaryotic animal or plant cells (see, e.g., U.S. Pat. No. 4,816,567). Monoclonal antibodies may also be isolated from phage antibody libraries, e.g., using the techniques described in Clackson et al., Nature, 352:624-628 (1991) and Marks et al., J. Mol. Biol., 222:581-597 (1991), incorporated herein by reference.

The monoclonal antibodies herein include “chimeric” antibodies in which a portion of the heavy and/or light chain is identical with or homologous to corresponding sequences in antibodies derived from a particular species or belonging to a particular antibody class or subclass, while the remainder of the chain(s) is identical with or homologous to corresponding sequences in antibodies derived from another species or belonging to another antibody class or subclass, as well as fragments of such antibodies, so long as they exhibit the desired biological activity (see U.S. Pat. No. 4,816,567 and Morrison et al., Proc. Natl. Acad. Sci. USA, 81:6851-6855 (1984)). Chimeric antibodies of interest herein include “primatized” antibodies comprising variable domain antigen-binding sequences derived from a non-human primate (e.g. Old World Monkey, Ape etc.), and human constant region sequences.

In some embodiments, the antibody of the present disclosure is a polyclonal antibody. A “polyclonal antibody” a mixture of different antibody molecules which react with more than one immunogenic determinant of an antigen. Polyclonal antibodies may be isolated or purified from mammalian blood, secretions, or other fluids, or from eggs. Polyclonal antibodies may also be recombinant. A recombinant polyclonal antibody is a polyclonal antibody generated by the use of recombinant technologies. Recombinantly generated polyclonal antibodies usually contain a high concentration of different antibody molecules, all or a majority of (e.g., more than 80%, more than 85%, more than 90%, more than 95%, more than 99%, or more) which are displaying a desired binding activity towards an antigen composed of more than one epitope.

Methods of producing antibodies (e.g., monoclonal antibodies or polyclonal antibodies) are known in the art. For example, a polyclonal antibody may be prepared by immunizing an animal, preferably a mammal, with an allergen of choice followed by the isolation of antibody-producing B-lymphocytes from blood, bone marrow, lymph nodes, or spleen. Alternatively, antibody-producing cells may be isolated from an animal and exposed to an allergen in vitro against which antibodies are to be raised. The antibody-producing cells may then be cultured to obtain a population of antibody-producing cells, optionally after fusion to an immortalized cell line such as a myeloma. In some embodiments, as a starting material B-lymphocytes may be isolated from the tissue of an allergic patient, in order to generate fully human polyclonal antibodies. Antibodies may be produced in mice, rats, pigs (swine), sheep, bovine material, or other animals transgenic for the human immunoglobulin genes, as starting material in order to generate fully human polyclonal antibodies. In some embodiments, mice or other animals transgenic for the human immunoglobulin genes (e.g. as disclosed in U.S. Pat. No. 5,939,598), the animals may be immunized to stimulate the in vivo generation of specific antibodies and antibody producing cells before preparation of the polyclonal antibodies from the animal by extraction of B lymphocytes or purification of polyclonal serum.

Monoclonal antibodies are typically made by cell culture that involves fusing myeloma cells with mouse spleen cells immunized with the desired antigen (i.e., hybridoma technology). The mixture of cells is diluted and clones are grown from single parent cells on microtitre wells. The antibodies secreted by the different clones are then assayed for their ability to bind to the antigen (with a test such as ELISA or Antigen Microarray Assay) or immuno-dot blot. The most productive and stable clone is then selected for future use.

In some embodiments, the antibodies described herein are “humanized” for use in human (e.g., as therapeutics). “Humanized” forms of non-human (e.g., rodent) antibodies are chimeric antibodies that contain minimal sequence derived from the non-human antibody. Humanized antibodies are human immunoglobulins (recipient antibody) in which residues from a hypervariable region of the recipient are replaced by residues from a hypervariable region of a non-human species (donor antibody) such as mouse, rat, rabbit or non-human primate having the desired antibody specificity, affinity, and capability. In some instances, framework region (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues. Furthermore, humanized antibodies may comprise residues that are not found in the recipient antibody or in the donor antibody. These modifications are made to further refine antibody performance. In general, the humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the hypervariable loops correspond to those of a non-human immunoglobulin and all or substantially all of the FRs are those of a human immunoglobulin sequence. The humanized antibody optionally also will comprise at least a portion of an immunoglobulin constant region (Fc), typically that of a human immunoglobulin. For further details, see Jones et al., Nature 321:522-525 (1986) Riechmann et al., Nature 332:323-329 (1988); and Presta, Curr. Op. Struct. Biol. 2:593-596 (1992).

A “small molecule,” as used herein, refers to a molecule of low molecular weight (e.g., <900 daltons) organic or inorganic compound that may function in regulating a biological process. Nonlimiting examples of a small molecule include lipids, monosaccharides, second messengers, other natural products and metabolites, as well as drugs and other xenobiotics.

A “lipid” refers to a group of naturally occurring molecules that include fats, waxes, sterols, fat-soluble vitamins (such as vitamins A, D, E, and K), monoglycerides, diglycerides, triglycerides, phospholipids, and others. A “monosaccharide” refers to a class of sugars (e.g., glucose) that cannot be hydrolyzed to give a simpler sugar. Non-limiting examples of monosaccharides include glucose (dextrose), fructose (levulose) and galactose. A “second messenger” is a molecule that relay signals received at receptors on the cell surface (e.g., from protein hormones, growth factors, etc.) to target molecules in the cytosol and/or nucleus. Nonlimiting examples of second messenger molecules include cyclic AMP, cyclic GMP, inositol trisphosphate, diacylglycerol, and calcium. A “metabolite” is an molecule that forms as an intermediate produce of metabolism. Non-limiting examples of a metabolite include ethanol, glutamic acid, aspartic acid, 5′ guanylic acid, Isoascorbic acid, acetic acid, lactic acid, glycerol, and vitamin B2. A “xenobiotic” is a foreign chemical substance found within an organism that is not normally naturally produced by or expected to be present within. Non-limiting examples of xenobiotics include drugs, antibiotics, carcinogens, environmental pollutants, food additives, hydrocarbons, and pesticides.

The agent (e.g., an agent that binds to binding domain I of LRP-1 and/or stimulates Tsp-1 or an agent that inhibits the ability of PRSS2 to inhibit Tsp-1) may be formulated in a pharmaceutical composition. In some embodiments, the pharmaceutical composition further comprises a pharmaceutical acceptable carrier. The term “pharmaceutically-acceptable carrier” as used herein means one or more compatible solid or liquid filler, diluents or encapsulating substances which are suitable for administration into a subject, e.g., a human. A pharmaceutically acceptable carrier is “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the tissue of the patient (e.g., physiologically compatible, sterile, physiologic pH, etc.). The term “carrier” denotes an organic or inorganic ingredient, natural or synthetic, with which the active ingredient is combined to facilitate the application. The components of the pharmaceutical compositions also are capable of being co-mingled with the molecules of the present disclosure, and with each other, in a manner such that there is no interaction which would substantially impair the desired pharmaceutical efficacy. Some examples of materials which can serve as pharmaceutically-acceptable carriers include: (1) sugars, such as lactose, glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose, and its derivatives, such as sodium carboxymethyl cellulose, methylcellulose, ethyl cellulose, microcrystalline cellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) lubricating agents, such as magnesium stearate, sodium laurel sulfate and talc; (8) excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol (PEG); (12) esters, such as ethyl oleate and ethyl laurate; (13) agar; (14) buffering agents, such as magnesium hydroxide and aluminum hydroxide; (15) alginic acid; (16) pyrogen-free water; (17) isotonic saline; (18) Ringer's solution; (19) ethyl alcohol; (20) pH buffered solutions; (21) polyesters, polycarbonates and/or polyanhydrides; (22) bulking agents, such as polypeptides and amino acids (23) serum component, such as serum albumin, HDL and LDL; (22) C2-C12 alcohols, such as ethanol; and (23) other non-toxic compatible substances employed in pharmaceutical formulations. Wetting agents, coloring agents, release agents, coating agents, sweetening agents, flavoring agents, perfuming agents, preservative and antioxidants can also be present in the formulation.

The pharmaceutical compositions may conveniently be presented in unit dosage form and may be prepared by any of the methods well-known in the art of pharmacy. The term “unit dose” when used in reference to a pharmaceutical composition of the present disclosure refers to physically discrete units suitable as unitary dosage for the subject, each unit containing a predetermined quantity of active material calculated to produce the desired therapeutic effect in association with the required diluent; i.e., carrier, or vehicle.

The formulation of the pharmaceutical composition may dependent upon the route of administration. Injectable preparations suitable for parenteral administration or intratumoral, peritumoral, intralesional or perilesional administration include, for example, sterile injectable aqueous or oleaginous suspensions and may be formulated according to the known art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution, suspension or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in 1,3 propanediol or 1,3 butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution, U.S.P. and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or di-glycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectables. The injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use.

For topical administration, the pharmaceutical composition can be formulated into ointments, salves, gels, or creams, as is generally known in the art. Topical administration can utilize transdermal delivery systems well known in the art. An example is a dermal patch.

Compositions suitable for oral administration may be presented as discrete units, such as capsules, tablets, lozenges, each containing a predetermined amount of the anti-inflammatory agent. Other compositions include suspensions in aqueous liquids or non-aqueous liquids such as a syrup, elixir or an emulsion.

Other delivery systems can include time-release, delayed release or sustained release delivery systems. Such systems can avoid repeated administrations of the anti-inflammatory agent, increasing convenience to the subject and the physician. Many types of release delivery systems are available and known to those of ordinary skill in the art. They include polymer base systems such as poly(lactide-glycolide), copolyoxalates, polycaprolactones, polyesteramides, polyorthoesters, polyhydroxybutyric acid, and polyanhydrides. Microcapsules of the foregoing polymers containing drugs are described in, for example, U.S. Pat. No. 5,075,109, Delivery systems also include non-polymer systems that are: lipids including sterols such as cholesterol, cholesterol esters and fatty acids or neutral fats such as mono- di- and tri-glycerides; hydrogel release systems; sylastic systems; peptide based systems; wax coatings; compressed tablets using conventional binders and excipients; partially fused implants; and the like. Specific examples include, but are not limited to: (a) erosional systems in which the anti-inflammatory agent is contained in a form within a matrix such as those described in U.S. Pat. Nos. 4,452,775, 4,667,014, 4,748,034 and 5,239,660 and (b) diffusional systems in which an active component permeates at a controlled rate from a polymer such as described in U.S. Pat. Nos. 3,832,253, and 3,854,480. In addition, pump-based hardware delivery systems can be used, some of which are adapted for implantation.

Use of a long-term sustained release implant may be particularly suitable for treatment of chronic conditions. Long-term release, are used herein, means that the implant is constructed and arranged to delivery therapeutic levels of the active ingredient for at least 30 days, and preferably 60 days. Long-term sustained release implants are well-known to those of ordinary skill in the art and include some of the release systems described above.

In some embodiments, the pharmaceutical compositions used for therapeutic administration must be sterile. Sterility is readily accomplished by filtration through sterile filtration membranes (e.g., 0.2 micron membranes). Alternatively, preservatives can be used to prevent the growth or action of microorganisms. Various preservatives are well known and include, for example, phenol and ascorbic acid. The cyclic Psap peptide and/or the pharmaceutical composition ordinarily will be stored in lyophilized form or as an aqueous solution if it is highly stable to thermal and oxidative denaturation. The pH of the preparations typically will be about from 6 to 8, although higher or lower pH values can also be appropriate in certain instances.

Other aspects of the present disclosure provide methods of treating cancer, using the agents and pharmaceutical compositions described herein. In some embodiments, the method comprises administering to a subject in need thereof an effective amount of an agent that stimulates Tsp-1. In some embodiments, the method comprises administering to the subject in need there of an agent that binds to binding domain I of LRP-1 as described herein (e.g., an antibody that targets amino acids 151-172 of LRP1). In some embodiments, the method comprises administering to the subject in need there of an agent that inhibits the ability of PRSS2 to repress Tsp-1. In some embodiments, the method comprising administering to the subject in need thereof an effective amount of a first agent that inhibits the PRSS2 (e.g., the ability of PRSS2 to repress Tsp-1), and an effective amount of a second agent that binds to binding domain I of LRP1. When more than one agent is administered, they may be administered simultaneously or sequentially. One skilled in the art (e.g., a physician) is able to determine the mode of administration.

“Treat” or “treatment” of cancer includes, but is not limited to, preventing, reducing, or halting the development of a cancer, reducing or eliminating the symptoms of cancer, suppressing or inhibiting the growth of a cancer, preventing or reducing metastasis and/or invasion of an existing cancer, promoting or inducing regression of the cancer, inhibiting or suppressing the proliferation of cancerous cells, reducing angiogenesis and/or increasing the amount of apoptotic cancer cells.

An “effective amount” is a dosage of an agent sufficient to provide a medically desirable result, such as treatment of cancer. The effective amount will vary with the particular disease or disorder being treated, the age and physical condition of the subject being treated, the severity of the condition, the duration of the treatment, the nature of any concurrent therapy, the specific route of administration and the like factors within the knowledge and expertise of the health practitioner. For administration to a subject such as a human, a dosage of from about 0.001, 0.01, 0.1, or 1 mg/kg up to 50, 100, 150, or 500 mg/kg or more can typically be employed.

In some embodiments, the effective amount is a dosage of an agent that causes no toxicity to the subject. In some embodiments, the effective amount is a dosage of an agent that causes reduced toxicity to the subject. Methods for measuring toxicity are welt known in the art (e.g., biopsy/histology of the liver, spleen, and/or kidney; alanine transferase, alkaline phosphatase and bilirubin assays for liver toxicity; and creatinine levels for kidney toxicity).

The agents and pharmaceutical compositions described herein can be formulated for a variety of modes of administration, including systemic, topical or localized administration. A variety of administration routes are available. The particular mode selected will depend upon the type of cancer being treated and the dosage required for therapeutic efficacy. The methods of the disclosure, generally speaking, may be practiced using any mode of administration that is medically acceptable, meaning any mode that produces effective levels of the active compounds without causing clinically unacceptable adverse effects. Such modes of administration include, but are not limited to, oral, rectal, topical, nasal, intradermal, or parenteral routes. The term “parenteral” includes subcutaneous, intravenous, intramuscular, or infusion. The pharmaceutical compositions described herein are also suitably administered by intratumoral, peritumoral, intralesional, intratracheal, intracerebroventricular, intraperitoneal or perilesional routes, to exert local as well as systemic effects.

Techniques and formulations generally can be found in Remington: The Science and Practice of Pharmacy, Pharmaceutical Press; 22nd edition and other similar references. When administered, a Psap peptide may be applied in pharmaceutically-acceptable amounts and in pharmaceutically-acceptable compositions. Pharmaceutical compositions and pharmaceutically-acceptable carriers are also described herein. Such preparations may routinely contain salt, buffering agents, preservatives, compatible carriers, and optionally other therapeutic agents. When used in medicine, the salts should be pharmaceutically acceptable, but non-pharmaceutically acceptable salts may conveniently be used to prepare pharmaceutically-acceptable salts thereof and are not excluded from the scope of the disclosure. Such pharmacologically and pharmaceutically-acceptable salts include, but are not limited to, those prepared from the following acids: hydrochloric, hydrobromic, sulfuric, nitric, phosphoric, maleic, acetic, salicylic, citric, formic, malonic, succinic, and the like. Also, pharmaceutically-acceptable salts can be prepared as alkaline metal or alkaline earth salts, such as sodium, potassium or calcium salts.

In some embodiments, treatment of cancer with the agents or pharmaceutical compositions described may be combined with another therapy, such as a chemotherapy agent, radiation, a cytostatic agent, an anti-VEGF agent, an anti-angiogenesis factor, a p53 reactivation agent and/or surgery.

A subject shall mean a human or vertebrate animal or mammal including but not limited to a rodent, e.g., a rat or a mouse, dog, cat, horse, cow, pig, sheep, goat, turkey, chicken, and primate, e.g., monkey. The methods of the present disclosure are useful for treating a subject in need thereof. A subject in need thereof can be a subject who has a risk of developing cancer (i.e., via a genetic test) or a subject who has cancer.

Subjects having cancer may be identified using any method known in the art (e.g., blood tests, histology, CT scan, X-ray, MRI, physical exam, cytogenitic analysis, urinalysis, or genetic testing). A subject suspected of having cancer might show one or more symptoms of the disease. Signs and symptoms for cancer are well known to those of ordinary skill in the art. Some exemplary laboratory tests include, but are not limited to, testing for cancer biomarkers such as cancer antigen (CA) 15-3, carcinoembryonic antigen (CEA) and HER-2 for breast cancer, human papillomavirus (HPV) E6 and E7 oncoproteins for cervical cancer, alpha-fetoprotein (AFP), AFP fractions L3, P4/5, and the +II band, and ultrasonography for hepatocellular carcinoma (HCC), prostate-specific antigen (PSA) for prostate cancer, and serum CA-125 for ovarian and HCC.

The cancer can be benign or malignant, and it may or may not have metastasized. Any type of cancer is contemplated herein, including, but not limited to, leukemias, lymphomas, myelomas, carcinomas, metastatic carcinomas, sarcomas, adenomas, nervous system cancers and genitourinary cancers. Exemplary cancer types include, but are not limited to, adult and pediatric acute lymphoblastic leukemia, acute myeloid leukemia, adrenocortical carcinoma, AIDS-related cancers, anal cancer, cancer of the appendix, astrocytoma basal cell carcinoma, bile duct cancer, bladder cancer, bone cancer, biliary tract cancer, osteosarcoma, fibrous histiocytoma, brain cancer, brain stem glioma, cerebellar astrocytoma, malignant glioma, glioblastoma, ependymoma, medulloblastoma, supratentorial primitive neuroectodermal tumors, hypothalamic glioma, breast cancer, male breast cancer, bronchial adenomas, Burkitt lymphoma, carcinoid tumor, carcinoma of unknown origin, central nervous system lymphoma, cerebellar astrocytoma, malignant glioma, cervical cancer, childhood cancers, chronic lymphocytic leukemia, chronic myelogenous leukemia, acute lymphocytic and myelogenous leukemia, chronic myeloproliferative disorders, colorectal cancer, cutaneous T-cell lymphoma, endometrial cancer, ependymoma, esophageal cancer, Ewing family tumors, extracranial germ cell tumor, extragonadal germ cell tumor, extrahepatic bile duct cancer, intraocular melanoma, retinoblastoma, gallbladder cancer, gastric cancer, gastrointestinal stromal tumor, extracranial germ cell tumor, extragonadal germ cell tumor, ovarian germ cell tumor, gestational trophoblastic tumor, glioma, hairy cell leukemia, head and neck cancer, hepatocellular cancer, Hodgkin lymphoma, non-Hodgkin lymphoma, hypopharyngeal cancer, hypothalamic and visual pathway glioma, intraocular melanoma, islet cell tumors, Kaposi sarcoma, kidney cancer, renal cell cancer, laryngeal cancer, lip and oral cavity cancer, small cell lung cancer, non-small cell lung cancer, primary central nervous system lymphoma, Waldenstrom macroglobulinema, malignant fibrous histiocytoma, medulloblastoma, melanoma, Merkel cell carcinoma, malignant mesothelioma, squamous neck cancer, multiple endocrine neoplasia syndrome, multiple myeloma, mycosis fungoides, myelodysplastic syndromes, myeloproliferative disorders, chronic myeloproliferative disorders, nasal cavity and paranasal sinus cancer, nasopharyngeal cancer, neuroblastoma, oropharyngeal cancer, ovarian cancer, pancreatic cancer, parathyroid cancer, penile cancer, pharyngeal cancer, pheochromocytoma, pineoblastoma and supratentorial primitive neuroectodermal tumors, pituitary cancer, plasma cell neoplasms, pleuropulmonary blastoma, prostate cancer, rectal cancer, rhabdomyosarcoma, salivary gland cancer, soft tissue sarcoma, uterine sarcoma, Sezary syndrome, non-melanoma skin cancer, small intestine cancer, squamous cell carcinoma, squamous neck cancer, supratentorial primitive neuroectodermal tumors, testicular cancer, throat cancer, thymoma and thymic carcinoma, thyroid cancer, transitional cell cancer, trophoblastic tumors, urethral cancer, uterine cancer, uterine sarcoma, vaginal cancer, vulvar cancer, choriocarcinoma, hematological neoplasm, adult T-cell leukemia, lymphoma, lymphocytic lymphoma, stromal tumors and germ cell tumors, or Wilms tumor. In some embodiments, the cancer is melanoma or ovarian cancer.

EXAMPLES

The progression of cancer to the metastatic stage is a major contributing factor to its lethality. In order for a tumor to form lethal metastases it must gain access to the vasculature or lymphatic system (intravasation), survive during transit, exit the vascular or lymphatic channels (extravasation), and proliferate at the metastatic site [1]. In this process, heterotypic signaling between the tumor and its microenvironment can affect tumor growth by regulating the production and secretion of factors that mediate tumor growth, angiogenesis, and the immune response. Two proteins, prosaposin and PRSS2, were identified through a functional proteomic screen, designed to identify secreted proteins that modulate Tsp-1 in the microenvironment [2]. Prosaposin is expressed preferentially by weakly metastatic tumors and stimulates Tsp-1 in the tumor microenvironment. Conversely, PRSS2 is preferentially expressed by highly metastatic cells and inhibits Tsp-1 expression in the tumor microenvironment. Tsp-1 inhibits tumor growth and progression via multi-modal activity, specifically: (1) It is a broadly acting anti-angiogenic factor, (2) It has direct anti-tumor activity against tumors that express CD36, and (3) It promotes macrophage phagocytosis and T-cell activation via binding to CD47 [3-5]. The Tsp-1 stimulating activity of prosaposin and the Tsp-1 repressing activity of PRSS2 have both been determined to be mediated via binding to LRP1. Provided herein are antibodies that mimic prosaposin's Tsp-1 stimulating activity and block the Tsp-1 repressing activity of PRSS2.

The current standard of care for cancer patients consists of broadly acting cytotoxic agents (chemotherapy), radiation, and directed therapeutics that target specific secreted proteins, cell surface receptors, or kinases. Historically, there have been two classes of therapeutics that target the tumor microenvironment, anti-angiogenic drugs (which have been limited to anti-VEGF therapies) and immunomodulatory drugs. One of the major drawbacks to therapies that target the microenvironment is that they do not have direct anti-tumor activity and thus their efficacy as monotherapies has been limited. Conversely, a major drawback of targeted therapies and chemotherapies that have direct anti-tumor activity is that patients develop resistance to the drug, in addition to unintended deleterious side effects. As such, a therapeutic strategy involving a combination of targeted therapies/chemotherapy and anti-angiogenic/immunomodulatory drugs has been used with the goal of first shrinking the tumor, via the activity of the anti-tumor drug and then holding the tumor at bay via the activity of the therapy targeting the tumor microenvironment. The development of antibodies that specifically target the tumor microenvironment to increase the expression of Tsp-1, a protein with potent anti-tumor, anti-angiogenic and immunomodulatory activity, would have enormous therapeutic potential.

Prosaposin was first identified as a novel suppressor of tumor metastasis, and such inhibition was documented to be achieved by stimulating p53 and subsequently Tsp-1 in the tumor microenvironment [2]. A 5-amino acid cyclic peptide from prosaposin with potent anti-tumor and anti-metastatic activity has since been identified. In Aim 1, the binding affinity and activity of the psaptide will be optimized. In Aim 2, the optimized psaptide will be developed as a therapeutic agent and tested in orthotopic xenograft, syngeneic and spontaneous genetic models of primary and metastatic cancer. In Aim 2, patient tumor tissue samples for CD36, CD47, Tsp-1 and psap expression will also be screened to expand the potential indications for the psaptide. For Aim 2, collaborations will be with the Drapkin lab at Dana Farber Cancer Institute and Harvard Medical School, as well as the Akslen Lab at the Center for Cancer Biomarkers at the University of Bergen, Norway and the Kimmelman Lab at Brigham and Women's Hospital and Harvard Medical School.

The Psaptide Inhibits Primary Pancreatic Tumor Growth and Metastasis

A 4-amino acid peptide derived from prosaposin that stimulates bone marrow-derived myeloid cells, normally recruited to stimulate tumor growth to express the potent anti-angiogenic and anti-tumorigenic protein Tsp-1, has been identified.

The prosaposin peptide has been shown to inhibit metastasis by stimulating Tsp-1 in bone marrow-derived cells in the tumor microenvironment [6]. As such, the hypothesis that psap would have efficacy in treating metastatic pancreatic cancer, a cancer in which the microenvironment comprises the majority of the tumor mass, was tested [7]. Accordingly, 1×10⁶ AsPc1 human pancreatic cancer cells expressing firefly luciferase were injected into the pancreas of SCID mice. The tumors were allowed to grow for 25 days, at which point the luciferase intensity was greater than 1×10⁸ for all tumors. Treatment was then initiated with the psaptide at doses of 20 mg/kg and 40 mg/kg QD. All mice were sacrificed after 21 days of treatment when the control (vehicle) treated mice became moribund. As demonstrated in FIGS. 1 and 2A, the psaptide was able to significantly inhibit primary tumor growth. More significantly, upon examination of the liver and spleen, the two most common sites of metastasis for this cell line and for pancreatic cancer in general, no metastases whatsoever was observed (FIG. 2B).

Multiple Human Cancer Cells Express CD36

Since Tsp-1 elicits its proapoptotic activity by binding to the cell surface receptor CD36, it was examined whether human cancer cell lines express this receptor. A panel of primary human ovarian cancer cells, derived from patient ascites as well as three breast cancer cell lines representing the major subtypes (ER⁺, HER2⁺, and triple negative), was screened. Strikingly, all of the cells were found to express easily detectable levels of CD36 (FIGS. 3A and 3B). From this observation, it was predicted that the psaptide would have significant efficacy against ovarian cancer by inducing apoptosis in ovarian cancer cells via Tsp-1 binding to CD36, and inhibiting angiogenesis. This hypothesis will be tested in Aim 1.

Ovarian Cancer Recruit Bone Marrow Derived Myeloid Cells to Ascites that are the Target of the Peptide.

It was demonstrated that the activity of prosaposin and the therapeutic peptide are mediated by Gr1⁺/Cd11b⁺ monocytes [6]. As such, the ascites fluid from mice treated in FIG. 4 was examined for the presence of Gr1⁺/CD11b⁺ cells by FACS analysis. It was observed that the peritoneal fluid of the control-treated mice was comprised of >70% Gr1⁺/Cd11b⁺ cells, while the fluid in the peritoneal cavity mouse that had been “cured” by peptide treatment was comprised of ˜30% Gr1⁺/CD11b⁺ cells (FIG. 5). This indicates that the ovarian tumor cells were recruiting these BM-derived cells.

Prosaposin Stimulation of Tsp-1 is Mediated by LRP1

It has been demonstrated that Low Density Lipoprotein Receptor Related Protein (LRP) can mediate the uptake of prosaposin [8]. Thus, in order to determine how prosaposin was able to stimulate the expression of Tsp-1 and p53 in tumor-associated fibroblasts, prostate fibroblasts were treated with PC3-conditioned media in the presence and absence of Receptor Associate Protein (RAP), a competitive inhibitor or LRP1 binding. Western blot analysis revealed that in the presence of RAP, PC3-conditioned media no longer stimulated Tsp-1 (FIGS. 6A-6B). It has also been demonstrated that ligation of LRP1 releases intracellular Ca²⁺ stores [9]. To determine whether prosaposin-mediated stimulation of Tsp-1 utilized this pathway, fibroblasts were treated with CM from PC3 cells in the presence and absence of the PKC inhibitor Gö 6983. It was observed, via western blot analysis, that inhibition of PKC abolished the stimulation of Tsp-1 and p53. Thus, it is believed that Prosaposin functions via binding to LRP1.

Additionally, LRP1 expression in lung fibroblasts was knocked down with two is independent shRNA sequences and the effects on Tsp-1 expression were examined. Knocking down LRP1 was found to have no effect on Tsp-1 expression in the absence of stimulus (FIG. 7). Consistent with the results obtained from treating cells with RAP, when the lung fibroblasts were treated with conditioned media from either the weakly metastatic PC3 cell line or the metastatic PC3-LIN4 cell line, no stimulation of Tsp-1 was observed, as had been observed in cells transduced with the empty vector (FIG. 7). Strikingly, silencing LRP1 also abrogated the repression LRP1 by LN4-conditioned media, indicating that this activity was also mediated by a signaling pathway downstream from LRP1 (FIG. 7).

In order to delineate the pathway leading from LRP1 to Tsp-1 stimulation by prosaposin, two pathways that have been reported to be stimulated by LRP1 under different conditions were chosen to be examined: Rho and Rac [10]. The peptide was observed to stimulate Tsp-1 in an LRP1-dependent manner, as co-treatment with RAP blocked the stimulation of Tsp-1 in a dose-dependent fashion (FIG. 8A). Moreover, when lung fibroblasts were treated with the peptide in the presence of the Rho Kinase inhibitor Y27632, the stimulation of Tsp-1 was completely abrogated (FIG. 8B).

Attention was then turned to the mechanism by which PC3M-LN4 cells repress Tsp-1 in the tumor microenvironment. In doing so, LN4 conditioned media (CM) was fractionated over a Cu²⁺/heparin sepharose column with increasing concentrations of NaCl. The eluted fractions were used to treat lung fibroblasts and Tsp-1 induction was analyzed by western blot. The fractions eluted between 0.9 and 1.0M NaCl were found to be able to stimulate Tsp-1 (FIG. 9). By analyzing the protein content of the eluted fractions by tandem liquid chromatography/mass spectrometry (LC/MS), a protein was identified that was present in the active fractions of LN4 CM, but not present in the adjacent fractions or the fractions eluted with the same NaCl concentrations from PC3 CM. The identified protein was the serine protease PRSS2. The LC/MS analysis was validated by performing a western blot of PRSS2 expression in PC3 and LN4 cells, which revealed that PRSS2 was expressed at significantly higher levels in LN4 cells (FIG. 10). It was then validated that PRSS2 was mediating the repression of Tsp-1 by treating lung fibroblasts with LN4 CM in the presence and absence of the serine protease inhibitor, STI, which completely abrogated the repression of Tsp-1 (FIG. 11). Finally, the signaling pathway emanating from LRP1 that was mediating the PRSS2-induced repression of Tsp-1 was sought to be delineated. It was speculated that if psap was stimulating Tsp-1 via LRP1-mediated activation of the Rho pathway, perhaps PRSS2 induced the repression of Tsp-1 via LRP1-mediated activation of the Rae pathway, since the two pathways are antagonistic. By treating WI38 cells with LN4 CM in the presence and absence of a Rac1 inhibitor, the repression of Tsp-1 was observed to be alleviated and Tsp-1 levels were restored to basal levels (FIG. 12). While STI is able to block the repression of Tsp-1 mediated by PRSS2 due to its lack of specificity for PRSS2 and its ability to inhibit all members of the trypsin family, it does not represent a viable therapeutic strategy. For the same reason, chemical compounds designed to inhibit PRSS2 would also lack specificity due to the conserved nature of the active sites of serine proteases and the trypsin family. Therefore, it is believed that an antibody designed to bind to PRSS2 which blocks its ability to repress Tsp-1 will be a potent anti-cancer therapeutic agent.

Finally, the minimal region of the LRP1 receptor that is required for the stimulation of Tsp-1 by the prosaposin peptide was sought to be determined. For these studies, mutants of LRP1 that contained different regions of the extracellular domain fused to the transmembrane and intracellular domains were utilized (FIG. 13A) [11]. 293T cells, which express very low levels of Tsp-1 and are not stimulated by the peptide to produce Tsp-1, were then transfected with these constructs (FIG. 13B). Cyclic psap peptide was found to be able to stimulate Tsp-1 in 293T cells transfected with miniLRP1a and miniLRP1b, but not in cells transfected with the other miniLRP1 constructs. Strikingly, both miniLRP1a and miniLRP1b are the only mutants that contain the N-terminus and the first two β-propeller domains. Based on these results, it is believed that prosaposin and the psap peptide stimulate Tsp-1 expression via binding to this region of LRP1. An antibody that binds to this region of LRP1 is believed to mimic the activity of the peptide and perhaps bind with even greater affinity and possess improved pharmacokinetic (PK) and pharmacodynamic (PD) properties.

LRP1 Peptides that Bind to both PSAP and PRSS2

To map the binding sites on LRP1 that binds to prosaposin (PSAP) and/or PRSS2, peptides derived from binding domain I of LRP1 (SEQ ID NOs: 3 and 7-18) were tested for their ability to co-immunoprecipitate with PSAP or PRSS2. The results show that peptide 12, (corresponding to amino acids 140-164 of LRP1) and peptide 13 (corresponding to amino acids 151-172 of LRP1) bind to both PRSS2 and PSAP (FIGS. 16A-16B). Peptide 12 and peptide 13 overlap in the region corresponding to amino acids 151-164 of LRP1, indicating that the binding site of PRSS2 and PASP is within this region of LRP1.

shRNA sequences: PRSS2 TRCN0000046736 (Sigma ID) Sequence: (SEQ ID NO: 4) CCGGTCTGAGTTCTGGTGCCGACTACTCGAGTAGTCGGCACCAGAACTCA GATTTTTG LRP1 1: TRCN0000257134 (Sigma ID) Sequence: (SEQ ID NO: 5) CCGGACAGCTTCCTGAGGGCTAATTCTCGAGAATTAGCCCTCAGGAAGCT GTTTTTTG 2: TRCN0000257100 (Sigma ID) Sequence: (SEQ ID NO: 6) CCGGGATCCGTGTGAACCGCTTTAACTCGAGTTAAAGCGGTTCACACGGA TCTTTTTG LRP1 binding domain I and peptide sequences Peptide 1 (amino acids 1-24 of LRP1): (SEQ ID NO: 7) IDAPKTCSPKQFACRDQITCISKGW Peptide 2 (amino acids 15-39 of LRP1): (SEQ ID NO: 8) RDQITCISKGWRCDGERDCPDGSDE Peptide 3 (amino acids 24-49 of LRP1): (SEQ ID NO: 9) RCDGERDCPDGSDEAPEICPQSKAQ Peptide 4 (amino acids 40-64 of LRP1): (SEQ ID NO: 10) APEICPQSKAQRCQPNENHCLGTEL Peptide 5 (amino acids 50-74 of LRP1): (SEQ ID NO: 11) RCQPNENHCLGTELCVPMSRLCNGV Peptide 6 (amino acids 65-89 of LRP1): (SEQ ID NO: 12) TELCVPMSRLCNGVQDCMDGSDEGP Peptide 7 (amino acids 75-99 of LRP1): (SEQ ID NO: 13) QDCMDGSDEGPHCRELQGNCSRLGC Peptide 8 (amino acids 90-114 of LRP1): (SEQ ID NO: 14) HCRELQGNCSRLGCQHHCVPTLDGP Peptide 9 (amino acids 100-126 of LRP1): (SEQ ID NO: 15) QHHCVPTLDGPTCYCNSSFQLQADGKT Peptide 10 (amino acids 115-139 of LRP1): (SEQ ID NO: 16) TCYCNSSFQLQADGKTCKDFDECSV Peptide 11 (amino acids 125-149 of LRP1): (SEQ ID NO: 17) KTCKDFDECSVYGTCSQLCTNTDGS Peptide 12 (amino acids 140-164 of LRP1, binds to both PRSS2 and prosaposin): (SEQ ID NO: 18) YGTCSQLCTNTDGSFICGCVEGYLL Peptide 13 (amino acids 151-172 of LRP1, binds to both PRSS2 and prosaposin): (SEQ ID NO: 3) FICGCVEGYLLQPDNRSCKAKN Mutations in the Active Site of PRSS2 Do Not Affect the Repression of Tsp-1

Wild-type PRSS2 in pCMVSPORT6.1 was mutated using the QuickChange mutagenesis kit: G191R, S200A, S200T and S200C (nucleotide sequences provided below). The wild-type and mutant constructs were transfected into 293T cells using FuGene transfection reagent. After 48 hours, the conditioned media containing the mutant proteins was harvested and used to treat WI-38 fibroblasts overnight. Following treatment, the cells were harvested, lysed and protein concentration determined by Bio-Rad protein assay. Equivalent levels of protein were added to each well and run on a polyacrylamide SDS gel. Western blotting with antibodies against Tsp-1 and b-actin was then performed using standard protocols.

It was found that the ability of PRSS2 to repress Tsp-1 was not affected, indicating that binding site for LRP1 is not in the active site and that antibodies against this region do not affect the protease activity of the enzyme (FIG. 17).

PRSS2 Protein and nucleotide sequences PRSS2 Protein (Active site: 194-205 200S, G191R inactivating mutation) (SEQ ID NO: 19) MNLLLILTFVAAAVAAPFDDDDKIVGGYICEENSVPYQVSLNSGYHFCGGSLISEQWVVSAGHCYKSAINSKLSGR GCEYHRIQVRLGEHNIEVLEGNEQFINAAKIIRHPKYNSRTLDNDILLIKLSSPAVINSRVSAISLPTAPPAAGTE SLISGWGNTLSSGADYPDELQCLDAPVLSQAECEASYPGKITNNMFCVGFLEGGKDSCQGDSGGPVVSNGELQGIV SWGYGCAQKNRPGVYTKVYVYVDWIKDTIAANS PRSS2 Nucleotide WT (Active site: 194-205 200S, G191R inactivating mutation) (SEQ ID NO: 20) ATGAATCTAC TTCTGATCCT TACCTTTGTT GCAGCTGCTG TTGCTGCCCC CTTTGATGAT GATGACAAGA TCGTTGGGGG CTACATCTGT GAGGAGAATT CTGTCCCCTA CCAGGTGTCC TTGAATTCTG GCTACCACTT CTGCGGTGGC TCCCTCATCA GCGAACAGTG GGTGGTGTCA GCAGGTCACT GCTACAAGTC GGCAATTAAC TCAAAATTAT CAGGAAGAGG GTGTGAATAT CACCGCATCC AGGTGAGACT GGGAGAGCAC AACATCGAAG TCCTGGAGGG GAATGAACAG TTCATCAATG CGGCCAAGAT CATCCGCCAC CCCAAATACA ACAGCCGGAC TCTGGACAAT GACATCCTGC TGATCAAGCT CTCCTCACCT GCCGTCATCA ATTCCCGCGT GTCCGCCATC TCTCTGCCCA CTGCCCCTCC AGCTGCTGGC ACCGAGTCCC TCATCTCCGG CTGGGGCAAC ACTCTGAGTT CTGGTGCCGA CTACCCAGAC GAGCTGCAGT GCCTGGATGC TCCTGTGCTG AGCCAGGCTG AGTGTGAAGC CTCCTACCCT GAGAAGATTA CCAACAACAT GTTCTGTGTG GGCTTCCTCG AGGGAGGCAA GGATTCCTGC CAGGGTGATT CTGGTGGCCC TGTGGTCTCC AATGGAGAGC TCCAAGGAAT TGTCTCCTGG GGCTATGGCT GTGCCCAGAA GAACAGGCCT GGAGTCTACA CCAAGGTCTA CAACTATGTG GACTGGATTA AGGACACCAT AGCTGCCAAC AGCTAA PRSS2 G191R Nucleotide (Active site: 194-205 200S, G191R inactivating mutation) (SEQ ID NO: 21) ATGAATCTAC TTCTGATCCT TACCTTTGTT GCAGCTGCTG TTGCTGCCCC CTTTGATGAT GATGACAAGA TCGTTGGGGG CTACATCTGT GAGGAGAATT CTGTCCCCTA CCAGGTGTCC TTGAATTCTG GCTACCACTT CTGCGGTGGC TCCCTCATCA GCGAACAGTG GGTGGTGTCA GCAGGTCACT GCTACAAGTC GGCAATTAAC TCAAAATTAT CAGGAAGAGG GTGTGAATAT CACCGCATCC AGGTGAGACT GGGAGAGCAC AACATCGAAG TCCTGGAGGG GAATGAACAG TTCATCAATG CGGCCAAGAT CATCCGCCAC CCCAAATACA ACAGCCGGAC TCTGGACAAT GACATCCTGC TGATCAAGCT CTCCTCACCT GCCGTCATCA ATTCCCGCGT GTCCGCCATC TCTCTGCCCA CTGCCCCTCC AGCTGCTGGC ACCGAGTCCC TCATCTCCGG CTGGGGCAAC ACTCTGAGTT CTGGTGCCGA CTACCCAGAC GAGCTGCAGT GCCTGGATGC TCCTGTGCTG AGCCAGGCTG AGTGTGAAGC CTCCTACCCT GAGAAGATTA CCAACAACAT GTTCTGTGTG GGCTTCCTCG AGCGAGGCAA GGATTCCTGC CAGGGTGATT CTGGTGGCCC TGTGGTCTCC AATGGAGAGC TCCAAGGAAT TGTCTCCTGG GGCTATGGCT GTGCCCAGAA GAACAGGCCT GGAGTCTACA CCAAGGTCTA CAACTATGTG GACTGGATTA AGGACACCAT AGCTGCCAAC AGCTAA PRSS2 S200A (Active site: 194-205 200A) (SEQ ID NO: 22) ATGAATCTAC TTCTGATCCT TACCTTTGTT GCAGCTGCTG TTGCTGCCCC CTTTGATGAT GATGACAAGA TCGTTGGGGG CTACATCTGT GAGGAGAATT CTGTCCCCTA CCAGGTGTCC TTGAATTCTG GCTACCACTT CTGCGGTGGC TCCCTCATCA GCGAACAGTG GGTGGTGTCA GCAGGTCACT GCTACAAGTC GGCAATTAAC TCAAAATTAT CAGGAAGAGG GTGTGAATAT CACCGCATCC AGGTGAGACT GGGAGAGCAC AACATCGAAG TCCTGGAGGG GAATGAACAG TTCATCAATG CGGCCAAGAT CATCCGCCAC CCCAAATACA ACAGCCGGAC TCTGGACAAT GACATCCTGC TGATCAAGCT CTCCTCACCT GCCGTCATCA ATTCCCGCGT GTCCGCCATC TCTCTGCCCA CTGCCCCTCC AGCTGCTGGC ACCGAGTCCC TCATCTCCGG CTGGGGCAAC ACTCTGAGTT CTGGTGCCGA CTACCCAGAC GAGCTGCAGT GCCTGGATGC TCCTGTGCTG AGCCAGGCTG AGTGTGAAGC CTCCTACCCT GAGAAGATTA CCAACAACAT GTTCTGTGTG GGCTTCCTCG AGGGAGGCAA GGATTCCTGC CAGGGTGATG CTGGTGGCCC TGTGGTCTCC AATGGAGAGC TCCAAGGAAT TGTCTCCTGG GGCTATGGCT GTGCCCAGAA GAACAGGCCT GGAGTCTACA CCAAGGTCTA CAACTATGTG GACTGGATTA AGGACACCAT AGCTGCCAAC AGCTAA PRSS2 S200T Nucleotide (Active site: 194-205 200T) (SEQ ID NO: 23) ATGAATCTAC TTCTGATCCT TACCTTTGTT GCAGCTGCTG TTGCTGCCCC CTTTGATGAT GATGACAAGA TCGTTGGGGG CTACATCTGT GAGGAGAATT CTGTCCCCTA CCAGGTGTCC TTGAATTCTG GCTACCACTT CTGCGGTGGC TCCCTCATCA GCGAACAGTG GGTGGTGTCA GCAGGTCACT GCTACAAGTC GGCAATTAAC TCAAAATTAT CAGGAAGAGG GTGTGAATAT CACCGCATCC AGGTGAGACT GGGAGAGCAC AACATCGAAG TCCTGGAGGG GAATGAACAG TTCATCAATG CGGCCAAGAT CATCCGCCAC CCCAAATACA ACAGCCGGAC TCTGGACAAT GACATCCTGC TGATCAAGCT CTCCTCACCT GCCGTCATCA ATTCCCGCGT GTCCGCCATC TCTCTGCCCA CTGCCCCTCC AGCTGCTGGC ACCGAGTCCC TCATCTCCGG CTGGGGCAAC ACTCTGAGTT CTGGTGCCGA CTACCCAGAC GAGCTGCAGT GCCTGGATGC TCCTGTGCTG AGCCAGGCTG AGTGTGAAGC CTCCTACCCT GAGAAGATTA CCAACAACAT GTTCTGTGTG GGCTTCCTCG AGGGAGGCAA GGATTCCTGC CAGGGTGATA CTGGTGGCCC TGTGGTCTCC AATGGAGAGC TCCAAGGAAT TGTCTCCTGG GGCTATGGCT GTGCCCAGAA GAACAGGCCT GGAGTCTACA CCAAGGTCTA CAACTATGTG GACTGGATTA AGGACACCAT AGCTGCCAAC AGCTAA PRSS2 S200C Nucleotide (Active site: 194-205 200C) (SEQ ID NO: 24) ATGAATCTAC TTCTGATCCT TACCTTTGTT GCAGCTGCTG TTGCTGCCCC CTTTGATGAT GATGACAAGA TCGTTGGGGG CTACATCTGT GAGGAGAATT CTGTCCCCTA CCAGGTGTCC TTGAATTCTG GCTACCACTT CTGCGGTGGC TCCCTCATCA GCGAACAGTG GGTGGTGTCA GCAGGTCACT GCTACAAGTC GGCAATTAAC TCAAAATTAT CAGGAAGAGG GTGTGAATAT CACCGCATCC AGGTGAGACT GGGAGAGCAC AACATCGAAG TCCTGGAGGG GAATGAACAG TTCATCAATG CGGCCAAGAT CATCCGCCAC CCCAAATACA ACAGCCGGAC TCTGGACAAT GACATCCTGC TGATCAAGCT CTCCTCACCT GCCGTCATCA ATTCCCGCGT GTCCGCCATC TCTCTGCCCA CTGCCCCTCC AGCTGCTGGC ACCGAGTCCC TCATCTCCGG CTGGGGCAAC ACTCTGAGTT CTGGTGCCGA CTACCCAGAC GAGCTGCAGT GCCTGGATGC TCCTGTGCTG AGCCAGGCTG AGTGTGAAGC CTCCTACCCT GAGAAGATTA CCAACAACAT GTTCTGTGTG GGCTTCCTCG AGGGAGGCAA GGATTCCTGC CAGGGTGATT GTGGTGGCCC TGTGGTCTCC AATGGAGAGC TCCAAGGAAT TGTCTCCTGG GGCTATGGCT GTGCCCAGAA GAACAGGCCT GGAGTCTACA CCAAGGTCTA CAACTATGTG GACTGGATTA AGGACACCAT AGCTGCCAAC AGCTAA

REFERENCES

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Without further elaboration, it is believed that one skilled in the art can, based on the above description, utilize the present disclosure to its fullest extent. The specific embodiments are, therefore, to be construed as merely illustrative, and not limitative of the remainder of the disclosure in any way whatsoever. All publications cited herein are incorporated by reference for the purposes or subject matter referenced herein.

The indefinite articles “a” and “an” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to mean “at least one.”

From the above description, one skilled in the art can easily ascertain the essential characteristics of the present disclosure, and without departing from the spirit and scope thereof, can make various changes and modifications of the disclosure to adapt it to various usages and conditions. Thus, other embodiments are also within the claims. 

What is claimed:
 1. A method of treating cancer, the method comprising administering to a subject in need thereof an effective amount of a polyclonal antibody that binds to amino acids 1-172 Low Density Lipoprotein Receptor-related Protein 1 (LRP1).
 2. The method of claim 1, wherein the polyclonal antibody binds to amino acids 151-172 (SEQ ID NO: 3) of LRP1.
 3. The method of claim 1, wherein the polyclonal antibody binds to amino acids 140-164 (SEQ ID NO: 18) of LRP1.
 4. The method of claim 1, wherein the polyclonal antibody binds to amino acids 151-164 (SEQ ID NO: 19) of LRP1.
 5. The method of claim 1, wherein the polyclonal antibody is administered orally, parenterally, intramuscularly, intranasally, intratracheally, intracerebroventricularly, intravenously, or intraperitoneally.
 6. The method of claim 1, wherein the cancer is metastatic.
 7. The method of claim 1, wherein the cancer is biliary tract cancer; bladder cancer; brain cancer; glioblastoma; medulloblastoma; breast cancer; cervical cancer; choriocarcinoma; colon cancer; endometrial cancer; esophageal cancer; gastric cancer; hematological neoplasm; acute lymphocytic leukemia; myelogenous leukemia; multiple myeloma; AIDS-associated leukemia; adult T-cell leukemia; lymphoma; intraepithelial neoplasm; Bowen's disease; Paget's disease; liver cancer; lung cancer; lymphomas; Hodgkin's disease; lymphocytic lymphoma; neuroblastoma; oral cancer; squamous cell carcinoma; ovarian cancer; pancreatic cancer; prostate cancer; rectal cancer; sarcoma; leiomyosarcoma; rhabdomyosarcoma; liposarcoma; fibrosarcoma; osteosarcoma; skin cancer; testicular cancer; stromal tumor; germ cell tumor; thyroid cancer; or renal cancer.
 8. The method of claim 7, wherein the cancer is prostate cancer, breast cancer, ovarian cancer, or pancreatic cancer.
 9. The method of claim 1, wherein the polyclonal antibody inhibits the ability of Protease, serine 2 (PRSS2) to repress Tsp-1.
 10. The method of claim 1, wherein the polyclonal antibody inhibits binding of PRSS2 to Low Density Lipoprotein Receptor-related Protein 1 (LRP1). 